Department of Orthopedic Surgery, VHS medical center, South Korea.
Department of Orthopaedic Surgery, Lee Chun Tek Hospital, South Korea.
J Foot Ankle Surg. 2021 May-Jun;60(3):541-547. doi: 10.1053/j.jfas.2020.11.004. Epub 2020 Dec 8.
One reported complication of the arthroscopic modified Broström operation is pain caused by the suture anchoring knot. We hypothesized that a knotless technique could reduce such pain. Therefore, in this study we evaluated the clinical and radiological outcomes after knotless all-inside arthroscopic modified Broström operation for lateral ankle instability. From July 2017 to November 2017, 28 patients were treated. Clinical and radiological features were evaluated preoperatively and 3, 6, and 12 months postoperatively using the American Orthopaedic Foot & Ankle Society ankle-hindfoot scale score, visual analogue scale score for pain, anterior talar drawer test, and talar tilt angle. The mean age of the 28 patients (14 men, 14 women) was 41.71 ± 17.19 years. Three (10.7%) complications, but no knot-associated pain, occurred. The clinical and radiological outcomes were significantly improved 12 months postoperatively compared with preoperative outcomes (all p < .05). Knotless all-inside arthroscopic modified Broström operation for lateral ankle instability avoided knot-associated pain and improved not only patient satisfaction but also clinical and radiological outcomes.
关节镜下改良 Broström 手术的一种并发症是缝线固定结引起的疼痛。我们假设无结技术可以减轻这种疼痛。因此，在这项研究中，我们评估了关节镜下改良外侧踝关节不稳的无结全内修复术的临床和影像学结果。从 2017 年 7 月至 2017 年 11 月，共治疗了 28 例患者。使用美国矫形足踝协会踝后足评分、疼痛视觉模拟评分、距骨前抽屉试验和距骨倾斜角，在术前和术后 3、6 和 12 个月评估临床和影像学特征。28 例患者（男 14 例，女 14 例）的平均年龄为 41.71 ± 17.19 岁。3 例（10.7%）出现并发症，但无与结相关的疼痛。与术前相比，术后 12 个月的临床和影像学结果明显改善（均 P <.05）。关节镜下改良外侧踝关节不稳的无结全内修复术避免了与结相关的疼痛，不仅提高了患者满意度，而且改善了临床和影像学结果。
