Mohamad Hasjmy, Koh Don, Socklingam Raj, Chandrakumara Darshana, Moo Ing How, Kon Charles
Orthopaedics, Changi General Hospital, Singapore, SGP.
Cureus. 2025 Mar 23;17(3):e81025. doi: 10.7759/cureus.81025. eCollection 2025 Mar.
Background Chronic lateral ankle sprains are common injuries that are largely sequelae of inversion injuries of the ankle. These injuries are amenable to surgical intervention, namely, Broström-Gould reconstruction, which is commonly performed for the above injury. Many open and arthroscopic variations of the technique have been described. Arthroscopic Broström-Gould has been shown to have comparable outcomes to the open technique. Analysis of 39 patients who underwent arthroscopic Broström-Gould at a tertiary institution showed excellent outcomes from all three functional scores. Methods Thirty-nine patients underwent arthroscopic Broström-Gould in 2021 at a tertiary institution and were followed up for up to one year postoperatively. All patients had failed conservative treatment and reported pain and chronic instability prior to surgical intervention. Outcomes were measured with functional scores, namely, the visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score (AOFAS), and Karlsson and Peterson Scoring System (K-P). Other demographics such as age, gender, laterality, and body mass index were also recorded. Statistical analysis was performed with GraphPad Prism (GraphPad Software, San Diego, CA). Outcomes were analysed by paired t-test and statistical significance was set at p < 0.05. Results A total of 39 patients with chronic lateral ankle instability (CLAI) who underwent arthroscopic Broström-Gould were followed up for up to one year postoperatively. Demographics were as follows: 22 males and 17 females, 20 right ankles and 19 left ankles, average age of 36.2 years (19.6-64.8 years), and BMI of 27.4 (19.2-40). At follow-up, functional scores were measured as described in the methods section above. Preoperative VAS scores were 5.87 ± 1.92 (1-10) while postoperative VAS scores were 2.0 ± 2.16 (0-7). Preoperative K-P scores were 43.68 ± 13.2 (7-70) while postoperative K-P scores were 69.21 ± 17.86 (37-100). Preoperative AOFAS scores were 62.53 ± 16.05 (29-83) while postoperative AOFAS scores were 83.8 ± 11.49 (59-100). Conclusions Significant improvement of all three functional scores (VAS, K-P, and AOFAS scores) following arthroscopic Broström-Gould was noted. This shows that the arthroscopic Broström-Gould is an effective method to treat CLAI with good outcomes.
慢性外侧踝关节扭伤是常见损伤，主要是踝关节内翻损伤的后遗症。这些损伤适合手术干预，即Broström-Gould重建术，常用于上述损伤的治疗。该技术有许多开放手术和关节镜手术的变体。关节镜下Broström-Gould手术已被证明与开放手术有相当的疗效。对一家三级医疗机构中39例行关节镜下Broström-Gould手术的患者进行分析，结果显示所有三项功能评分的结果都非常好。
2021年，39例患者在一家三级医疗机构接受了关节镜下Broström-Gould手术，并在术后随访长达一年。所有患者保守治疗均失败，在手术干预前均有疼痛和慢性不稳定症状。使用功能评分进行评估，即视觉模拟量表（VAS）、美国矫形足踝协会踝-后足评分（AOFAS）和卡尔森与彼得森评分系统（K-P）。还记录了其他人口统计学数据，如年龄、性别、患侧和体重指数。使用GraphPad Prism（GraphPad软件公司，加利福尼亚州圣地亚哥）进行统计分析。通过配对t检验分析结果，设定统计学显著性为p < 0.05。
共有39例慢性外侧踝关节不稳定（CLAI）患者接受了关节镜下Broström-Gould手术，并在术后随访长达一年。人口统计学数据如下：男性22例，女性17例，右踝20例，左踝19例，平均年龄36.2岁（19.6 - 64.8岁），体重指数27.4（19.2 - 40）。在随访时，按照上述方法部分所述测量功能评分。术前VAS评分为5.87 ± 1.92（1 - 10），术后VAS评分为2.0 ± 2.16（0 - 7）。术前K-P评分为43.68 ± 13.2（7 - 70），术后K-P评分为69.21 ± 17.86（37 - 100）。术前AOFAS评分为62.53 ± 16.05（29 - 83），术后AOFAS评分为83.8 ± 11.49（59 - 100）。
关节镜下Broström-Gould手术后，所有三项功能评分（VAS、K-P和AOFAS评分）均有显著改善。这表明关节镜下Broström-Gould手术是治疗CLAI的有效方法，疗效良好。
