We prospectively and randomly compared the out comes of the Chrisman-Snook and modified-Broström procedures for chronic lateral ankle instability in 40 patients. Both operations provided good or excellent stability in more than 80% of the patients. However, the modified-Broström procedure resulted in higher Sefton scores than the Chrisman-Snook procedure. In addi tion, a statistically significant greater proportion of complications occurred in patients treated with the Chrisman-Snook procedure.
References
1.
Ahlgren O., Larsson S.: Reconstruction for lateral ligament injuries of the ankle. J Bone Joint Surg71B: 300-303, 1989
Chrisman OD, Snook GA: Reconstruction of lateral ligament tears of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie procedure. J Bone Joint Surg51A:904-912, 1969
4.
Dias LS: The lateral ankle sprain——an experimental study. J Trauma19: 266-269, 1979
5.
Elmslie RC: Recurrent subluxation of the ankle joint. Ann Surg100: 364-367, 1934
6.
Gould N., Seligson D., Gassman J.: Early and late repair of the lateral ligament of the ankle. Foot Ankle1: 84-89, 1980
7.
Hamilton WG: Modified Broström procedure for ankle instability. Strategies in Orthopaedic Surgery9(1): 1-16, 1990
8.
Hoppenfeld S. : Physical examination of the foot and ankle, in Physical Examination of the Spine and Extremities. East Norwalk, CT, Appleton-Century-Crofts, 1976, pp 197-235
Karlsson, J. , Bergsten T., Lansinger O., et al: Surgical treatment of chronic lateral instability of the ankle joint. Am J Sports Med17: 268-274, 1989
11.
Karlsson J. , Bergsten T., Lansinger O., et al: Reconstruction of the lateral ligaments of the ankle for chronic instability. J Bone Joint Surg70A: 581-588, 1988
12.
Karlsson J. , Lansinger O.: Lateral instability of the ankle joint. Clin Orthop276: 253-261, 1992
13.
Katcherian D. : Soft-tissue injuries of the ankle, in Lutter LD, Mizel MS, Pfeffer GB (eds): Orthopaedic Knowledge Update: Foot and Ankle. Rosemont, IL, American Academy of Orthopaedic Surgeons , 1994, p 243
14.
Leach RE, Namiki O., Paul GR, et al: Secondary reconstruction of the lateral ligaments of the ankle. Clin Orthop160: 201-211, 1981
15.
Liu SH, Baker CL: Comparison of lateral ankle ligamentous reconstruction procedures . Am J Sports Med22: 313-317, 1994
16.
Mann RA: Chronic lateral instability of the ankle, in Chapman MW (ed): Operative Orthopaedics. Second edition. JB Lippincott Co, Philadelphia , 1993, pp 2279-2285
17.
Marder RA: Current methods for the evaluation of ankle ligament injuries. J Bone Joint Surg76A: 1103-1111, 1994
18.
Nyska M., Amir H., Porath A., et al: Radiological assessment of a modified anterior drawer test of the ankle. Foot Ankle13: 400-403, 1992
Rechtine GR , McCarroll JR, Webster DA: Reconstruction for chronic lateral instability of the ankle: A review of twenty eight surgical patients. Orthopedics5: 46-50, 1982
21.
Riegler HF: Reconstruction for lateral instability of the ankle. J Bone Joint Surg66A: 336-339, 1984
22.
Savastano AA , Lowe EB Jr: Ankle sprains: Surgical treatment for recurrent sprains. Am J Sports Med8: 208-211, 1980
23.
Sefton GK, George J., Fitton JM, et al: Reconstruction of the anterior talofibular ligament for the treatment of the unstable ankle. J Bone Joint Surg61B: 352-354, 1979
24.
Snook GA, Chrisman OD, Wilson TC: Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle. J Bone Joint Surg67A: 1-7, 1985