Nguyen Khanh Manh, Nguyen Thiep Huy, Do Anh Vu, Do Hai Van, Dinh Liem Ngoc, Le Hoang Xuan
Department of Upper Extremity Surgery and Sports Medicine Viet Duc Hospital.
Orthop Rev (Pavia). 2025 Mar 23;17:129921. doi: 10.52965/001c.129921. eCollection 2025.
Describing the clinical features, image diagnosing and evaluating clinical outcomes combining the open modified Broström procedure and InternalBrace augmentation with ankle arthroscopic surgery in patients with ATFL repaired.
The study included 15 patients diagnosed with ATFL torn and underwent surgical treatment. A descriptive, retrospective study from 2019 to 2022 at Viet Duc University Hospital.
All of the patients satisfied with the surgery results. The AOFAS significantly improved from preoperative averaging from 63.6 ±10.4 (55-70) up to 92.7±4.5 (70-100), respectively (P <0,001) with an average follow-up time of 39.86 months. Intra-articular lesions were found in 14 ankles (93.3%), including 10 with synovitis and soft-tissue impingement, 6 with chondral injuries, 6 with anterior tibial and talus osteophytes.
Surgical repair of ATFL by modified Broström procedure augmentated with InternalBrace is an effective technique, which helps stabilizing the ankle joint, improve the clinical outcomes significantly.
描述采用改良 Broström 手术联合 InternalBrace 增强术并结合踝关节镜手术修复距腓前韧带(ATFL)患者的临床特征、影像诊断及评估临床疗效。
本研究纳入 15 例诊断为 ATFL 撕裂并接受手术治疗的患者。这是一项于 2019 年至 2022 年在越德大学医院开展的描述性回顾性研究。
所有患者对手术结果满意。美国足踝外科协会(AOFAS)评分从术前平均 63.6±10.4(55 - 70)显著提高至 92.7±4.5(70 - 100),平均随访时间为 39.86 个月(P<0.001)。14 个踝关节(93.3%)发现关节内病变,其中 10 个有关节炎和软组织撞击,6 个有软骨损伤,6 个有胫前和距骨骨赘。
采用改良 Broström 手术联合 InternalBrace 增强术修复 ATFL 是一种有效的技术,有助于稳定踝关节,显著改善临床疗效。