Medial and lateral combined ligament arthroscopic repair for multidirectional ankle instability

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dc.creatorNacime Salomão Barbachanmansur
dc.creatorAndré Vitor Kerber Cavalcante Lemos
dc.creatorDaniel Soares Baumfeld
dc.creatorTiago Soares Baumfeld
dc.creatorMarcelo Pires do Prado
dc.creatorFernando Cepolina Raduan
dc.creatorCaio Augusto Souza Nery
dc.date.accessioned2023-10-09T21:33:56Z
dc.date.accessioned2025-09-09T00:54:06Z
dc.date.available2023-10-09T21:33:56Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.1177/2473011420986150
dc.identifier.issn24730114
dc.identifier.urihttps://hdl.handle.net/1843/59307
dc.languagepor
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofFoot & Ankle Orthopaedics
dc.rightsAcesso Aberto
dc.subjectAnkle Injuries
dc.subjectLateral Ligament, Ankle
dc.subjectJoint Instability
dc.subject.otherAnkle Injuries
dc.subject.otherLateral Ligament, Ankle
dc.subject.othercollateral ligaments
dc.subject.otherJoint Instability
dc.titleMedial and lateral combined ligament arthroscopic repair for multidirectional ankle instability
dc.typeArtigo de periódico
local.citation.epage8
local.citation.issue1
local.citation.spage1
local.citation.volume6
local.description.resumoBackground: 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.
local.publisher.countryBrasil
local.publisher.departmentMED - DEPARTAMENTO DE ANATOMIA E IMAGEM
local.publisher.departmentMED - DEPARTAMENTO DE APARELHO LOCOMOTOR
local.publisher.initialsUFMG
local.url.externahttps://journals.sagepub.com/doi/10.1177/2473011420986150

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