Foot Ankle Int. Meanwhile, the lateral component ran almost vertically towards the calcaneus, and is inserted into the lateral border of the tarsal sinus [19]. 2016;24(4):95762. This work was supported by grant from the Medical and Health Development Project of Shandong Province (2020040316). Patients had a 92.3% satisfaction rate at the last follow-up. The authors are grateful to the Anatomy Unit of Qingdao University for providing specimens for free. The procedure is performed with the patient in the supine position. Deep fascia on the dorsum of the ankle and foot: extensor retinacula revisited. 2013;21(6):13905. and transmitted securely. The average value of the distance between the Stem and AFP was 11.602.71mm, and the maximum and the minimum distance were 19.04mm and 6.53mm, respectively. Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N. Arthroscopic-assisted Brostrom-Gould for chronic ankle instability: a long-term follow-up. Both the inner and outer membrane were connected to the bone with good strength. Previous studies considered IER as Y-shaped with only a stem ligament (or frondiform ligament) at the lateral region [14, 15]. Springer Nature. Early and late repair of lateral ligament of the ankle. OSLB (black arrow); stem ligament (hollow arrow); the boundary between Stem and OSLB (black line). Mabit C, Boncoeur-Martel MP, Chaudruc JM, et al. . The medial root of an IER can be divided into a medial and lateral component and the medial component is blended with fibers of the interosseous talocalcaneal ligament (ITCL). In addition to the above, 1/3 of the peroneus brevis muscle is split off and threaded through the fibula, anchoring it to the lateral talus. Surg Radiol Anat. Brostrom-Gould. 2013;99(8 Suppl):S4119. The specimens were provided by the Anatomy Department of Qingdao University. However, recent studies have reported doubts regarding the feasibility of the inferior extensor retinaculum (IER) after Brostrom-Gould and therapeutic effects compared with the Brostrom procedure. Smith JW. In these cases, OSLB could be easily sutured to the anterior fibular periosteum (AFP) (Fig. Brostrom ankle surgery is a reconstruction of one or more lateral ankle ligaments. Knee Surg Sports Traumatol Arthrosc. . London: Bailliere, Tindall and Cox;1946. p.6025. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Jeong [8] measured the shortest distance between the IER and the distal anterior fibular periosteum (DAFP) during repair surgery for patients with chronic ankle instability. Manage cookies/Do not sell my data we use in the preference centre. The intraclass correlation efficient (ICC) among three observers was calculated. However, since biomechanical analysis was not carried out, it was impossible to determine its strength or whether it met the conditions of augmentation. Tech Foot Ankle Surg. Gould N, Seligson D, Gassman J. . https://doi.org/10.1186/s12891-021-04932-z, DOI: https://doi.org/10.1186/s12891-021-04932-z. Get Offer. extensor retinaculum was brought out then imbricated over all of this. 2021;37(1):26879. PubMed Central Boyer DS, Younger AS. G. Anatomical study of the inferior extensor retinaculum and the oblique superolateral band: implications for the Brostrom-Gould procedure. https://doi.org/10.1007/s00256-002-0477-0. Absorbable suture anchors have been successfully used for . 1997;19(2):1117. Qingdao University, Qingdao, Shandong, China, NO.1 District Department of Orthopedics, No. Provided by the Springer Nature SharedIt content-sharing initiative. Three roots of IER were consistently described in previous studies: lateral, intermedial and medial [16,17,18]. 1966;132(5):55165. GHZ and QL dissected specimens and wrote the main manuscript text. Full size image. The convenient all-in-one system includes 2 BioComposite SutureTak anchors, all the necessary drill guides, the Micro SutureLasso retrievers to help facilitate percutaneous shuttling of the #1 FiberWire suture through the ATFL and extensor retinaculum. The P -value (P=0.2) resulting from a single sample K-S test confirmed that the distribution of distances conformed to normality. 2018;10:725. J Hand Surg. J Anat. Augmented repair with IER provides initial protection for the repaired ATFL and improves joint rotation function [10]. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. 1 of 10. https://doi.org/10.1007/s00264-002-0373-1. Acta Chir Scand. 2a). https://doi.org/10.1177/1071100720945703. 1 The Internal Brace 2.0 surgical technique provides surgical versatility with added size and material options. PubMed Central Trichine F, et al. Foot Ankle Int. Le T, Liu H, Jenkins SM, Rayos Del Sol S, Gardner BB, McGahan P, Chen J. Arthrosc Tech. Arthroscopy. CrossRef then imbricated over the top of the capsule in the CFL. J Pediatr Orthop B. Once the arthroscope perfectly well centered on the external gutter, portal 2 is positioned between the spotlight and the lateral malleolus. Anterior talofibular ligament (hollow arrow), Peroneal longus tendon (red arrow), Peroneal brevis tendon (white arrow). Vega J, Golan P, Pellegrino A, Rabat E, Pea F. Foot Ankle Int. Provided by the Springer Nature SharedIt content-sharing initiative, Over 10 million scientific documents at your fingertips, Not logged in To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. eCollection 2021 Oct. Jt Dis Relat Surg. https://doi.org/10.1016/j.arthro.2006.08.016. Aydogan U, Glisson RR, Nunley JA. Knee Surg Sports Traumatol Arthrosc. When performing an internal brace procedure for augmentation of a brostrom procedure the surgeon has first placed the 4.75mm swivelock anchor into the talus with FiberTape suture. This week, Henryk Liszka MD PhD, assisted by Konrad Kwolek MD, performed surgery to remove anterior ankle impingement and restore the ankle . VI. CrossRef Biomed Res Int. Google Scholar. The inner footprint located around the CFL (a). The FiberTape suture was passed through the tissues and will be secured in the fibula with a 3.5mm swivelock anchor. 3a). Our hypothesis was that the use of an all-inside arthroscopic Brostrm procedure would provide a minimally invasive technique with acceptable patient outcomes. The Brostrom-Gould procedure has been considered as a gold standard operative technique for chronic lateral ankle instability. By using this website, you agree to our Epub 2013 Aug 26. The Brostrom-Gould procedure is currently the gold standard surgical choice for the treatment of chronic ankle instability; it can significantly improve ankle function and stability in patients. 3b). The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Hi! 2015 Mar;20(1):59-69. doi: 10.1016/j.fcl.2014.10.002. Authors Mohd Yazid Bajuri 1 , Edewet Daun 1 , Muhammad H Abdul Raof 1 , Mohd Rohaizat Hassan 2 , Srijit Das 3 Affiliations 4). Lafosse L, Van Raebroeckx A, Brzoska R. A new technique to improve tissue grip: the lasso-loop stitch. 1997;18(11):723. BMC Musculoskelet Disord 23, 28 (2022). I had bone fragment removal done and modified bostrom on June 11th, 2 weeks back slab, 4 weeks boot, 2 weeks no support but with 2 crutches and now currently using one but have ankle support. The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request. Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, Calder JD, Karlsson J, Ankle Instability Group. 2021 Oct 20;6(4):24730114211045978. doi: 10.1177/24730114211045978. Ankle sprain is the most common trauma. 2016;24(4):10408. PubMed Surgical treatment of chronic ligament ruptures. The surgery is performed under a general anesthetic or spinal block and takes 1-2 hours. This study has been performed with human specimens donated to the Anatomy Unit of Qingdao University. The https:// ensures that you are connecting to the The intermediate root of the IER is widely attached to the calcaneus [20], whilst the lateral root blended with the peroneal tendon sheath [15]. All dissections were performed by the same researcher. Copyright 2013 American College of Foot and Ankle Surgeons. 2014;35(11):113742. Wood Jones F. Buchanans Manual of Anatomy. PubMedGoogle Scholar. . Part of To add strength to the repair, after tying the construct tightly to the fibula, Dr. Cottom elects to modify his Mini-Incision Brostrom repairs by bridging the repair superiorly on the fibula using a 2.9 mm DX PushLock. Foot Ankle Int. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. Therefore, to strengthen the repair of the ligament, some orthopaedic surgeons created an IER flap as a graft, by using part of the IER tissue and fixing it to the fibular canal, the follow-up effect after surgery was considerable [23, 24]. Variation in IER characteristics in the different ankle samples was exclusively identified in the lateral region, specifically in the white fiber bundle. Twelve of the cadaveric ankles were observed as having an oblique superolateral band (OSLB) that had a tough texture upward of the lateral IER connecting with SL, as are the characteristics of the oblique superolateral band (OSLB) reported in previous studies. ), stem ligament (Stem), Inferior extensor retinaculum (IER), The boundary between the Stem and OSLB of IER (black line), Intermedial root of IER (red arrow), OSLB (black arrow), Extensor digitorum tendon (hollow arrow), The footprint of the inner and outer OSLB on the lateral calcaneus. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The procedures are typically grouped into 2 main categories: anatomic and nonanatomic repair of the lateral ligament complex. Foot Ankle Int. The ligamentous structures in the canalis and sinus tarsi. Nonoperative therapy is recommended initially, including functional rehabilitation. van Dijk CN, Wessel RN, Tol JL, Maas M. Oblique radiograph for the detection of bone spurs in anterior ankle impingement. California Privacy Statement, Orthopaed Traumatol Surg Res. The inner and outer membrane of the OSLB were connected with inner and outer membrane of Stem. Effect of modified brostrm procedure with periosteal flap augmentation after subfibular ossicle excision on ankle stability. Mini-Incision Modified Brostrom Gould Repair Utilizing the Arthrex Brostrom Repair System and 2.9 mm DX PushLock. The open modified Brostrm-Gould anatomic repair technique is widely accepted as the reference standard for lateral ankle stabilization. Skelet Radiol. Feasibility and outcome of inferior extensor retinaculum reinforcement in modified Brostrom procedures. Google Scholar. CAS 2006;11(3):58595. This treatment was then compared to the Modified Brostrom-Gould procedure with the addition of suture tape ligament augmentation (MB + ST). Kongres UOTBIH -Knjiga saetaka - scribd.com . The Arthrex Brostrom Repair technique and implant system allows surgeons to perform a Modified BrostromGould repair through one small 1.5 cm incision. believed that a distance of more than 18mm suggested the DAFP could not be used for the augmentation process. Foot Ankle Int. All-inside arthroscopic modified Brostrom technique to repair anterior talofibular ligament provides a similar outcome compared with open Brostrom-Gould procedure. The double-pulley technique for double-row rotator cuff repair. The Foot and Ankle. The open modified Brostrm-Gould anatomic repair technique is widely accepted as the reference standard for lateral ankle stabilization. All I can let you know is that I had modified brostrom-gould on 6th . Part of Springer Nature. CAS Various surgical approaches have been described in published studies for treating chronic lateral ankle instability. Pagenstert GI, Hintermann B, Knupp M. Operative management of chronic ankle instability: plantaris graft. Brostrom L, Sprained ankles. described that only the sling fibers of the retinaculum act as pulleys for the frondiform ligament, and the groove beneath an IER formed a loop to prevent the extensor digitorum tendon from dislocating [21]. Meanwhile, the outer membrane of the OSLB was connected to the outer membrane of the Stem, crossing the sheath of the peroneal tendon and ending at the lateral wall of the calcaneus surface (Fig. official website and that any information you provide is encrypted All-arthroscopic reconstruction of the anterior talofibular ligament is comparable to open reconstruction: a systematic review. The goal is to repair the loose lateral ligaments. Foot Ankle Int. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. 2017;57(2):226. PubMed In the present study, we used an arthroscopic approach to treat chronic anterior talofibular ligament tears without the extensive open incisions common in the traditional modified Brostrm-Gould procedure. Google Scholar. Wood Jones and Kuhlmann et al. Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N. Am J Sports Med. Ankle Instability Repair: The Brostrom-Gould Procedure. Util. sharing sensitive information, make sure youre on a federal government site. 27.10. The average of distance measured in our study was similar to in this previous study but in ours none of the IER could be sutured to the fibular periosteum. Park CH, Park J. The relationship between the OSLB and surrounding tissue from an inner and outer aspect. Correspondence to Open modified Brostrm ankle reconstruction with internal brace augmentation: A novel approach Orthopedics Today | Chronic lateral ankle instability can cause debilitating ankle pain and. Lateral Ankle Instability. Anatomy of the inferior extensor retinaculum and its role in lateral ankle ligament reconstruction: a pictorial essay. 2009;30(3):2137. Brostrum-Gould Procedure Rehab Protocol Download PDF to print The goal of this protocol is to provide a clinical guideline for the post-surgical course of physical therapy for a patient who has had a Brostrom Procedure or similar surgical procedure for repair of chronic lateral ankle instability. P>0.05 (P=0.2) in a single sample Kolmogorov-Smirnov test suggested that the distribution of the distances conformed to normality (Fig. 2011;39(11):2381. Nery C, et al. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Minimally invasive surgical treatment for chronic ankle instability: a systematic review. Foot Ankle Int. First of all, due to the small sample size in our study, some statistical errors may be unavoidable. 2015 Apr;36(4):465-73. doi: 10.1177/1071100715576107. The Arthrex Brostrom Repair System allows surgeons to perform a modified Brostrm-Gould procedure through a single, 1.5 cm incision. A dense collection of fibroblasts and collagen fibers dominate the middle layer, oriented primarily perpendicular to the direction of the underlying tendons [26]. Spanish . Jeong et al. Anatomic and MRI study of the subtalar ligamentous support. PubMed Three different researchers measured the closest distance between the anterior peroneal periosteum and the stem ligament of the IER using a vernier caliper (Fig. All statistical analyses were performed by a statistician using version 26.0 IBM SPSS statistical software. Surgical treatment of chronic ligament ruptures. Laith M. Jazrawi, MD Associate)Professor)of)Orthopaedics Chief,)Division)of)Sports)Medicine) Tel:)(212))598B6784) Postoperative Rehabilitation Following Brostrom . The standard MB technique utilized two 2.4 mm BioComposite SutureTak anchors for direct anatomic repair of the disrupted anterior talofibular and calcaneofibular ligaments. PubMed Central Arthroscopy. Some non-surgical methods can reduce the incidence of chronic ankle instability and although the majority of patients have accepted standard conservative treatment, approximately 20% of them still suffered chronic lateral chronic ankle instability [3, 4]. . CAS PubMed When the Stem cant be used for enhancement of a repair operation, other solutions should be explored to protect a newly repaired ATFL. Federal government websites often end in .gov or .mil. The most popular procedure in the World today is the Brostrom which means repair of the ligament with an addition of an augmentation technique to avoid the very common ligament attenuation. The Arthrex Brostrom Repair System allows surgeons to complete a modified Brostrom repair through one tiny 1.5 cm incision with the aid of a Micro SutureLasso to shuttle the sutures through the ATFL and extensor retinaculum. 2022 Springer Nature Switzerland AG. https://doi.org/10.1177/107110078000100206. This is the first description of an endoscopic technique that achieve an arthroscopic Brostrom and an endoscopic Gould in order to reproduce what has been described most commonly in open surgery. Cookies policy. Stem of IER was easily identified because of the white fiber bundle and thickness. Hamilton Master Techniques in Orthopaedic Surgery. 2019;47(3):66773. Finally, the study is purely an anatomic observational study and research was not conducted regarding the biomechanics, although the aim of study was to provide anatomical theory to aid decision making in the clinic. PubMedGoogle Scholar, Pvoa de Varzim-Vila do Conde Hospital Centre, Minho university, Braga-Guimares, Portugal, Queen Elizabeth II Health Sciences Center & Dalhousie University, Halifax, NS, Canada, Clinical and Research Institute for Foot and Ankle Surgery, Jujo Hospital, Kisarazu, Chiba, Japan, Imperial College London and Fortius Clinic London, London, UK, FIFA Medical centre of excellence Madrid and Porto, Department of Orthopaedic Surgery, University of Amsterdam, Academic Medical Centre, Amsterdam, The Netherlands, Department of Orthopaedics, Sahlgrenska University Hospital, Mlndal, Sweden, Guillo, S., Odagiri, H., Bauer, T. (2021). 4 Gould et al 10 later modified the technique in 1980 by adding augmentation of the repair with fibers from the inferior extensor retinaculum. These are commonly injured when the ankle is sprained and on occasions will lead to symptomatic instability needing surgery. The site is secure. Eamonn D, et al. Wittig U, Hohenberger G, Ornig M, Schuh R, Leithner A, Holweg P. EFORT Open Rev. volume23, Articlenumber:28 (2022) 1966;132(5):55165. Foot Ankle. 2018;39(11):13609. Functional Outcome of Modified Brostrom-Gould Procedure Using the PopLok Knotless Suture Anchor Technique in Lateral Ankle Instability . 7th Ed. PMC Clipboard, Search History, and several other advanced features are temporarily unavailable. The Brostrm operation is a repair of ligaments on the outer ("lateral") side of the ankle. 2b). Ankle Ligament Reconstruction (Brostrom Operation) This surgery is often referred to as a Brostrom ligament operation. Arthroscopy. Karlsson J, Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. Another reason might be that specimens had been stored in formalin for many months, causing the ankles in our study to be quite different from those in living bodies since the formalin further led to stiffness and deformability decline so that IER could be easily torn. van den Bekerom MP, Kerkhoffs GM, McCollum GA, Calder JD, van Dijk CN. Klein DM, et al. Foot Ankle Clin. All methods were carried out in accordance with relevant guidelines and regulations. 971 Army Navy hospital of Peoples Liberation, Qingdao, Shandong, China, You can also search for this author in Acevedo J, Mangone PG. Previously, Dalmau [12] categorised this type of IER as X-shaped. Management of acute lateral ankle ligament injury in the athlete. The average value of the distance between the Stem and the anterior fibular periosteum was 11.60mm, whilst the maximum and the minimum were 19.04mm and 6.53mm, respectively (Table 1). J Foot Ankle Surg. We observed that in 23 ankle specimens, 12 cases were identified as having an oblique superolateral band (OSLB) upward of the lateral IER region, with a connection to the stem ligament. Among the 23 specimens dissected in this study, 12 cadaveric ankles had a tough texture to the structure upward of the lateral IER and its connection to the stem ligament (Fig. J Bone Joint Surg-Am Vol. All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Recommendations of surgical treatment thus were proposed by many orthopaedic surgeons for whom conservative treatment failed. There were no instances in which the stem ligament could be sutured to the anterior fibular periosteum. The inner membrane of the OSLB ended at the lateral wall of the calcaneus, close to calcaneofibular ligament (CFL) (Fig. However, we do not recommend utilization of the Stem in this operation regardless of the distance between the AFP and the Stem. 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