A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure
Category: Ankle; Sports Introduction/Purpose: Several demographical and clinical risk factors for recurrent ankle instability have been described. The main objective of this study was to investigate the potential influence of morphological characteristics of the ankle joint on the occurrence of recu...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-12-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011424S00121 |
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| author | Flamur Zendeli Patrick Pflueger Arnd Viehoefer Sandro Hodel Mazda Farshad Stephan H. Wirth MD Lizzy Weigelt MD |
| author_facet | Flamur Zendeli Patrick Pflueger Arnd Viehoefer Sandro Hodel Mazda Farshad Stephan H. Wirth MD Lizzy Weigelt MD |
| author_sort | Flamur Zendeli |
| collection | DOAJ |
| description | Category: Ankle; Sports Introduction/Purpose: Several demographical and clinical risk factors for recurrent ankle instability have been described. The main objective of this study was to investigate the potential influence of morphological characteristics of the ankle joint on the occurrence of recurrent instability and the functional outcomes following a modified Broström-Gould procedure for chronic lateral ankle instability. Methods: Fifty-eight ankles from 58 patients (28 males and 30 females) undergoing a modified Broström-Gould procedure for chronic lateral ankle instability between January 2014 and July 2021 were available for clinical and radiological evaluation. Based on the preoperative radiographs the following radiographic parameters were measured: talar width (TW), tibial anterior surface angle (TAS), talar height (TH), talar radius (TR), tibiotalar sector (TTS), ankle mortise angle (AMA). The history of recurrent ankle instability and the functional outcome using the Karlsson Score were assessed after a minimum follow-up of 2 years. Results: Recurrent ankle instability was reported in 14 patients (24%). The TTS was significantly lower in patients with recurrent ankle instability (69.8 degrees vs 79.3 degrees) (P < .00001). The multivariate logistic regression model confirmed the TTS as an independent risk factor for recurrent ankle instability (OR = 1.64) (P = .003). The receiver operating characteristic curve analysis revealed that patients with a TTS lower than 72 degrees (= low-TTS group) had an 82-fold increased risk for recurrent ankle instability (P = .001). The low-TTS group showed a significantly higher rate of recurrent instability (58% vs 8%; P = .0001) and a significantly lower Karlsson score (65 points vs 85 points; P < .00001). Conclusion: A smaller TTS was found to be an independent risk factor for recurrent ankle instability and led to poorer functional outcomes after a modified Broström-Gould procedure. |
| format | Article |
| id | doaj-art-f2aa54e1c6b740e2bb7ba61f1e7d30b6 |
| institution | Kabale University |
| issn | 2473-0114 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj-art-f2aa54e1c6b740e2bb7ba61f1e7d30b62024-12-20T08:04:22ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142024-12-01910.1177/2473011424S00121A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould ProcedureFlamur ZendeliPatrick PfluegerArnd ViehoeferSandro HodelMazda FarshadStephan H. Wirth MDLizzy Weigelt MDCategory: Ankle; Sports Introduction/Purpose: Several demographical and clinical risk factors for recurrent ankle instability have been described. The main objective of this study was to investigate the potential influence of morphological characteristics of the ankle joint on the occurrence of recurrent instability and the functional outcomes following a modified Broström-Gould procedure for chronic lateral ankle instability. Methods: Fifty-eight ankles from 58 patients (28 males and 30 females) undergoing a modified Broström-Gould procedure for chronic lateral ankle instability between January 2014 and July 2021 were available for clinical and radiological evaluation. Based on the preoperative radiographs the following radiographic parameters were measured: talar width (TW), tibial anterior surface angle (TAS), talar height (TH), talar radius (TR), tibiotalar sector (TTS), ankle mortise angle (AMA). The history of recurrent ankle instability and the functional outcome using the Karlsson Score were assessed after a minimum follow-up of 2 years. Results: Recurrent ankle instability was reported in 14 patients (24%). The TTS was significantly lower in patients with recurrent ankle instability (69.8 degrees vs 79.3 degrees) (P < .00001). The multivariate logistic regression model confirmed the TTS as an independent risk factor for recurrent ankle instability (OR = 1.64) (P = .003). The receiver operating characteristic curve analysis revealed that patients with a TTS lower than 72 degrees (= low-TTS group) had an 82-fold increased risk for recurrent ankle instability (P = .001). The low-TTS group showed a significantly higher rate of recurrent instability (58% vs 8%; P = .0001) and a significantly lower Karlsson score (65 points vs 85 points; P < .00001). Conclusion: A smaller TTS was found to be an independent risk factor for recurrent ankle instability and led to poorer functional outcomes after a modified Broström-Gould procedure.https://doi.org/10.1177/2473011424S00121 |
| spellingShingle | Flamur Zendeli Patrick Pflueger Arnd Viehoefer Sandro Hodel Mazda Farshad Stephan H. Wirth MD Lizzy Weigelt MD A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure Foot & Ankle Orthopaedics |
| title | A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure |
| title_full | A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure |
| title_fullStr | A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure |
| title_full_unstemmed | A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure |
| title_short | A Smaller Tibiotalar Sector is a Risk Factor for Recurrent Anterolateral Ankle Instability after Modified Broström-Gould Procedure |
| title_sort | smaller tibiotalar sector is a risk factor for recurrent anterolateral ankle instability after modified brostrom gould procedure |
| url | https://doi.org/10.1177/2473011424S00121 |
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