Evaluation of a modified Brostrom-Gould procedure for treatment of chronic lateral ankle instability: A retrospective study with critical analysis of outcome scoring

Background: Chronic lateral ankle instability accounts for 20% of the ankle injuries. This study evaluates functional outcome of the modified Brostrom-Gould technique using suture anchors, with 4 different clinical scores. Methods: A consecutive series of 41 patients were included with a minimum follow-up of one year. The function was assessed using 4 clinical scores including: the AOFAS for hind foot; the FAAM; the CAIT and the CAIS. Results: Out of 41 patients; 27 patients were very satisfied, 11 satisfied and 3 were not satisfied. Ankle mobility returned to normal in 93% of patients. At follow-up the AOFAS was 89/100 (37-100), the FAAM 85/100% (35-100%), the CAIT 20/30 (5-30), and the CAIS 74/100% (27-100%). Conclusion: Outcome of modified Brostrom-Gould procedure is good with high satisfaction rate in terms of ankle mobility. The disparity in outcome of scores, signals towards the need of a standard evaluation system. (C) 2012 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.