Javors J R, Violet J T
Clin Orthop Relat Res. 1985 Sep(198):201-7.
This paper presents experience with the Broström operation, a relatively unknown surgical procedure for treating chronic instability, pain, and swelling involving the lateral aspect of the ankle. The procedure is indicated in patients unresponsive to conservative therapy. The torn ligament ends are identified and either reapproximated or reattached to the lateral malleolus or talus, depending on the site of original rupture. Of 15 consecutive patients treated, 13 obtained good or excellent results. Adequate ligamentous tissue for reconstruction was present in all cases. Stability, the primary goal in reconstructing these ligaments, was improved in all cases. Other surgical procedures for treating this symptom complex use normal anatomic structures (usually the peroneus brevis tendon) for reconstructing the anterior talofibular and/or calcaneofibular ligaments. The Broström procedure offers results comparable to other techniques but is superior because it is unnecessary to alter any normal anatomic structures.
本文介绍了布罗斯特伦手术的经验，这是一种相对鲜为人知的外科手术，用于治疗涉及踝关节外侧的慢性不稳定、疼痛和肿胀。该手术适用于对保守治疗无反应的患者。根据原始破裂部位，识别撕裂的韧带末端，要么重新对合，要么重新附着于外踝或距骨。在连续治疗的15例患者中，13例获得了良好或优异的结果。所有病例均有足够的韧带组织用于重建。重建这些韧带的主要目标——稳定性，在所有病例中均得到改善。治疗这种症状复合体的其他外科手术使用正常解剖结构（通常是腓骨短肌腱）来重建距腓前韧带和/或跟腓韧带。布罗斯特伦手术的结果与其他技术相当，但更具优势，因为无需改变任何正常解剖结构。
