tailieunhanh - báo cáo hóa học:" Treatment of chronic lateral ankle instability: a modified broström technique using three suture anchors"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Treatment of chronic lateral ankle instability: a modified broström technique using three suture anchors | Journal of Orthopaedic Surgery and Research BioMed Central Open Access Technical Note Treatment of chronic lateral ankle instability a modified brostrom technique using three suture anchors Xinning Li 1 Timothy J Lin2 and Brian D Busconi1 Address University of Massachusetts Medical Center Division of Sports Medicine Dept of Orthopaedic Surgery Room S4-827 55 Lake Avenue North Worcester MA 01655 USA and 2University of Massachusetts Medical School Worcester MA 01655 USA Email Xinning Li - Timothy J Lin - Brian D Busconi - busconib@ Corresponding author Published 2 December 2009 Received 25 August 2009 Journal of Orthopaedic Surgery and Research 2009 4 41 doi 1749-799X-4-41 Accepted 2 December 2009 This article is available from http content 4 1 41 2009 Li et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Ankle sprains are very common injuries seen in the athletic and young population. Majority of patients will improve with a course of rest and physical therapy. However with conservative management about twenty percent of all patients will go on to develop chronic lateral ankle instability. This manuscript describes our detailed surgical technique of a modification to the original Brostrom procedure using three suture anchors to anatomically reconstruct the lateral ankle ligaments to treat high demand patients who have developed chronic lateral ankle instability. The rationale for this modification along with patient selection and workup are discussed. Both the functional outcomes at the two year follow up along with the complications and the detailed postoperative rehabilitation protocol for the high demand athletes are also .