Intermediate- to Long-Term Longevity and Incidence of Revision of the Modified Broström-Gould Procedure for Lateral Ankle Ligament Repair: A Systematic Review

J Foot Ankle Surg. 2017 Sep-Oct;56(5):1076-1080. doi: 10.1053/j.jfas.2017.05.018. Epub 2017 Jun 20.

Abstract

The Broström-Gould procedure is an effective procedure for chronic lateral ankle instability. However, long-term studies are limited, and the durability of this procedure remains unclear. A systematic review of the published data was undertaken to determine the outcomes and incidence of revision after long-term follow-up. Eleven studies involving 669 Broström-Gould procedures met the inclusion criteria. The revision rate was 1.2% at a weighted mean follow-up period of 8.4 years. Our systematic review of the available data revealed that the Broström-Gould procedure results in low revision rates for chronic lateral ankle instability. However, additional prospective comparative analyses are needed regarding this topic.

Keywords: anatomic reconstruction; functional instability; ligament; mechanical instability; primary repair; systematic review.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Ankle Joint / physiopathology
  • Ankle Joint / surgery
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Humans
  • Joint Instability / diagnosis
  • Joint Instability / surgery*
  • Lateral Ligament, Ankle / injuries
  • Lateral Ligament, Ankle / surgery*
  • Male
  • Orthopedic Procedures / adverse effects
  • Orthopedic Procedures / methods*
  • Range of Motion, Articular / physiology*
  • Recovery of Function / physiology
  • Reoperation / methods
  • Suture Anchors*
  • Time Factors
  • Treatment Outcome