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Arthroscopic Broström–Gould repair has comparable radiological and clinical outcomes compared to traditional open Broström–Gould repair in high-demand patients

  • Ankle
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

This study sought to confirm whether traditional open Broström–Gould repair and arthroscopic Broström–Gould repair for chronic ankle instability (CAI) would produce comparable radiological and clinical outcomes in high-demand patients.

Methods

This retrospective case–cohort study included high-demand patients, as determined by a pre-injury Tegner Activity Level ≥ 6, who underwent Broström–Gould repair and were followed up for ≥ 2 years. Patients were divided into the arthroscopic Broström–Gould repair group (AS Group) and the open Broström–Gould repair group (Open Group). Perioperative radiological assessments were performed. The Tegner Activity Levels, Foot and Ankle Outcome Scores (FAOSs), Karlsson and Peterson (K–P) scores, and American Orthopaedic Foot and Ankle Society ankle–hindfoot (AOFAS) scores were evaluated clinically.

Results

A total of 65 patients (31 from the AS Group and 34 from the Open Group) were included in the study. There were no differences in age, sex, body mass index, preoperative anterior talar translation, talar tilt, signal-to-noise ratio, FAOS, K–P score, or AOFAS score between the two groups (n.s.). The preinjury median Tegner Activity Level was 7 and unchanged at the final follow-up in both groups. Postoperative stress radiographs showed improvement; however, the groups did not differ significantly. The FAOS, K–P scores, and AOFAS scores improved in each group (P < 0.001). However, the clinical scores did not differ between the groups (all n.s.).

Conclusions

Traditional open and arthroscopic Broström–Gould repair for CAI in high-demand patients had comparable radiological and clinical outcomes. Clinically, arthroscopic Broström–Gould repair may represent a viable surgical alternative to open Broström–Gould repair in high-demand patients.

Level of evidence

Level III.

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Acknowledgements

All authors have no disclosures for financial or non-financial interests. The authors have made substantial contributions to the following: (1) the conception and design of the study (BO Jeong), provision of study materials or inclusion of patients (BO Jeong), acquisition of data (JH Baek), analysis and interpretation of data (JH Baek). (2) drafting of the article (BO Jeong and, JH Kim), (3) final approval of the version to be submitted (BO Jeong and JH Baek), (4) contribution to the revision and re-revision process (JH Baek and JH Kim).

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, College of Medicine, Kyung Hee University, 23 Kyunghee-Daero, Dongdaemun-Gu, Seoul, 02447, Korea

    Jong Hun Baek, Jin Hyung Kim & Bi O Jeong

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  1. Jong Hun Baek
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Correspondence to Bi O Jeong.

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This study was approved by the Institutional Review Board of the Kyung Hee University Hospital (No.: KHUH 2022-03-004).

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Baek, J.H., Kim, J.H. & Jeong, B.O. Arthroscopic Broström–Gould repair has comparable radiological and clinical outcomes compared to traditional open Broström–Gould repair in high-demand patients. Knee Surg Sports Traumatol Arthrosc 31, 2208–2215 (2023). https://doi.org/10.1007/s00167-022-07289-5

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