Comparison of MBR + Suture Tape, MBR, and Anatomic Reconstruction for CLAI in GJL Cases: A Prospective Cohort Study

Peking University

Status: Enrolling

Conditions: Ankle Sprains; Hypermobility Syndrome

Treatments: Procedure: Anatomic reconstruction operation; Procedure: Open Modified Broström procedure; Procedure: Modified Broström + Suture tape augmentation operation

Study type: Observational

Funder types: Other

Identifiers

NCT05698446

M2022514

Details and patient eligibility

About

GJL is a risk factor for postoperative recurrent instability following an MBR for CLAI. BPR with suture tape augmentation and anatomic reconstruction may provide more strength and stability. However, BPR with suture tape augmentation may lead to rejection of the suture tape, while anatomic reconstruction may be associated with more trauma. In addition, the outcomes between the BPR with suture tape augmentation and anatomic reconstruction were unknown.

Full description

Generalized joint laxity (GJL) is a risk factor for postoperative recurrent instability following an open modified Broström repair (MBR) for chronic lateral ankle instability (CLAI). MBR with suture tape augmentation and anatomic reconstruction may provide more strength and stability. However, BPR with suture tape augmentation may lead to rejection of the suture tape, while anatomic reconstruction may be associated with more trauma. In addition, the outcomes between the BPR with suture tape augmentation and anatomic reconstruction were unknown.

Enrollment: 114 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of lateral ankle pain and instability Beighton score ≥4 Age with 18 to 60 years

Exclusion criteria

• Patients with an acute or subacute ankle injury (within 3 months) Injury of the deltoid ligament Alignment of lower extremity greater than 5 degrees Fractures of the lower extremity Stage III or IV osteoarthritis Patients who refused to participate in the study

Trial design

114 participants in 3 patient groups

Open Modified Broström +Suture tape augmentation group

Description:

Patients who accept a modified Broström +Suture tape augmentation operation

Treatment:

Procedure: Modified Broström + Suture tape augmentation operation

Anatomic reconstruction operation group

Description:

Patients who accept an anatomic reconstruction

Treatment:

Procedure: Anatomic reconstruction operation

Open Modified Broström group

Description:

Patients who under went open Modified Broström-Gould surgery

Treatment:

Procedure: Open Modified Broström procedure