■在尸体模型中修复时,与单独的Broström修复相比,使用不可吸收的缝合带进行的增强Broström修复已证明强度和刚度与天然前腓骨韧带(ATFL)更相似。踝关节外侧不稳定。研究目的是比较使用Broström修复治疗ATFL损伤后至少2年的患者报告结果(PROs)与不使用缝合带增强的情况。
■在2009年至2018年之间,发现了18岁以上的患者,这些患者因ATFL损伤而接受了单独的Broström修复(BR队列)或带缝合胶带增强的Broström修复(BR-ST队列)的主要手术治疗。人口统计数据和专业人员,包括足踝能力测量(FAAM)与日常生活活动(ADL)和运动分量表,12项简式健康调查(SF-12),Tegner活动量表,以及患者对手术结果的满意度,进行组间比较,并使用比例几率序数逻辑回归。
■102名符合条件的患者中有91名可在中位5年进行随访。BR队列的53名患者中有50名(94%)完成了中位7年的随访。BR-ST队列在中位数为5年的49人中有41人(84%)完成了随访。中位术后FAAMADL无显著差异(98%vs98%,P=.67),FAAM运动(88%vs91%,P=.43),SF-12PCS(55vs54,P=.93),Tegner得分(5vs5,P=.64),或患者满意度(9vs9,P=0.82)。BR-ST组SF-12MCS明显较高(55.7vs57.6,P=.02)。八名患者随后接受了同侧踝关节手术,其中一名患者(BR-ST组)因复发性踝关节外侧不稳定而进行了修正。
■中位数为5年,对于踝关节外侧ATFL损伤患者,采用Broström修补术和缝合胶带增强治疗,其患者报告的结局与单纯Broström修补术患者相似.
■二级,回顾性队列研究。
An augmented
Broström repair with nonabsorbable suture tape has demonstrated strength and stiffness more similar to the native anterior talofibular ligament (ATFL) compared to
Broström repair alone at the time of repair in cadaveric models for the treatment of lateral ankle instability. The study purpose was to compare minimum 2-year patient-reported outcomes (PROs) following treatment of ATFL injuries with
Broström repair with vs without suture tape augmentation.
Between 2009 and 2018, patients >18 years old who underwent primary surgical treatment for an ATFL injury with either a Broström repair alone (BR Cohort) or
Broström repair with suture tape augmentation (BR-ST Cohort) were identified. Demographic data and PROs, including Foot and Ankle Ability Measure (FAAM) with activities of daily living (ADL) and sport subscales, 12-Item Short Form Health Survey (SF-12), Tegner Activity Scale, and patient satisfaction with surgical outcome, were compared between groups, and proportional odds ordinal logistic regression was used.
Ninety-one of 102 eligible patients were available for follow-up at median 5 years. The BR cohort had 50 of 53 patients (94%) completed follow-up at a median of 7 years. The BR-ST cohort had 41 of 49 (84%) complete follow-up at a median of 5 years. There was no significant difference in median postoperative FAAM ADL (98% vs 98%, P = .67), FAAM sport (88% vs 91%, P = .43), SF-12 PCS (55 vs 54, P = .93), Tegner score (5 vs 5, P = .64), or patient satisfaction (9 vs 9, P = .82). There was significantly higher SF-12 MCS (55.7 vs 57.6, P = .02) in the BR-ST group. Eight patients underwent subsequent ipsilateral ankle surgery, of which one patient (BR-ST group) was revised for recurrent lateral ankle instability.
At median 5 years, patients treated for ATFL injury of the lateral ankle with
Broström repair with suture tape augmentation demonstrated similar patient-reported outcomes to those treated with Broström repair alone.
Level II, retrospective cohort study.