Treatment for Chronic Lateral Instability of the Ankle with Modified Brostrom Procedure(6 cases)

Modified Brostrom 술식을 이용한 만성 족근관절 외측 불안정증의 치료

  • Park, Yong-Wook (Orthopaedic Department, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Chung, Yung-Khee (Orthopaedic Department, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Yoo, Jung-Han (Orthopaedic Department, Kangnam Sacred Heart Hospital, Hallym University) ;
  • Lee, Kang-Il (Orthopaedic Department, Kangnam Sacred Heart Hospital, Hallym University)
  • 박용욱 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 정용기 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 유정한 (한림대학교 의과대학 강남성심병원 정형외과) ;
  • 이강일 (한림대학교 의과대학 강남성심병원 정형외과)
  • Published : 1998.06.01

Abstract

Many surgical procedures have been described for the treatment of chronic lateral instability of the ankle. Tenodesis procedures using peroneus brevis tendon is traditionally common among them. Recently, the modified Brostrom anatomic procedure, that is, tightening the stretched out lateral ligaments to restore their norma] anatomy without the use of supplemental tissues and then suturing the lateral portion of the extensor retinaculum to the distal fibula over the ligament repair. has been gaining in popularity. We have reviewed 6 of 10 consecutive cases at an average of 17 months after modified Brostrom procedure. An excellent or good result was achieved in 5 cases, all of which had improved mechanical stability as measured radiographically. One case that had an unsatisfactory result was in patient who had had a previous Evans' operation. So, we believed that the modified Brostrom procedure is an excellent treating method for chronic lateral instability of the ankle.

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