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http://hdl.handle.net/1843/59307| Type: | Artigo de Periódico |
| Title: | Medial and lateral combined ligament arthroscopic repair for multidirectional ankle instability |
| Authors: | Nacime Salomão Barbachanmansur André Vitor Kerber Cavalcante Lemos Daniel Soares Baumfeld Tiago Soares Baumfeld Marcelo Pires do Prado Fernando Cepolina Raduan Caio Augusto Souza Nery |
| Abstract: | Background: The high prevalence of ankle sprains in the population produces a significant number of patients with lateral instability. Persistence of this condition may lead to the progressive involvement of medial structures, causing a multi directional rotational instability.Methods: This is a retrospective study with patients diagnosed with multidirectional instability who underwent ankle arthroscopy with medial (arthroscopic tensioning) and lateral repair (arthroscopic Bro¨strom) between January 2018 and January 2020. All patients were evaluated for pain and function according to the visual analog scale (VAS) score and the American Orthopaedic Foot & Ankle Society (AOFAS) Hindfoot Score at a mean of 14.8 months (5-27 months) in follow-up. A total of 30 ankles (29 patients) were included in the study. Results: The AOFAS score increase from a 49.7 (CI 5.8) to a 91.9 (CI 2.4) mean (P ¼ .001) and was followed by significant improvement in the mean VAS score (6.8, CI 0.37-0.95, CI 0.31). The majority of patients had associated procedures (53.3%), and a low complication rate was found (16.6%).Conclusion: Combined medial and lateral arthroscopic repair might be an effective and safe alternative in the treatment of multidirectional instability. Inclusion of the deltoid ligament complex and the low invasiveness of the arthroscopic technique may improve the clinical outcomes of these patients. Level of Evidence: Level IV, retrospective case series. |
| Subject: | Ankle Injuries Lateral Ligament, Ankle Joint Instability |
| language: | por |
| metadata.dc.publisher.country: | Brasil |
| Publisher: | Universidade Federal de Minas Gerais |
| Publisher Initials: | UFMG |
| metadata.dc.publisher.department: | MED - DEPARTAMENTO DE ANATOMIA E IMAGEM MED - DEPARTAMENTO DE APARELHO LOCOMOTOR |
| Rights: | Acesso Aberto |
| metadata.dc.identifier.doi: | 10.1177/2473011420986150 |
| URI: | http://hdl.handle.net/1843/59307 |
| Issue Date: | 2021 |
| metadata.dc.url.externa: | https://journals.sagepub.com/doi/10.1177/2473011420986150 |
| metadata.dc.relation.ispartof: | Foot & Ankle Orthopaedics |
| Appears in Collections: | Artigo de Periódico |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| Medial and lateral ligament arthroscopic pdfa.pdf | 4.42 MB | Adobe PDF | View/Open |
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