Medium-term Outcomes of the Arthroscopic Brostrom Procedure: A Retrospective Analysis of 66 Patients

Abstract:

  • The arthroscopic Brostrom procedure is a minimally invasive technique that is a viable option surgeons have to treat patients with chronic lateral ankle instability (CAI). Our hypothesis was that there will be a statistically significant difference in pre- and postoperative scores and that patient satisfaction scores remained consistent at a minimum of 5 years post-operatively.  Pre-operative American Orthopedic Foot and Ankle (AOFAS) hindfoot scores, visual analog scale (VAS), foot function index (FFI) were compared with post-operative scores.  Karlsson-Peterson (KP) scores were assessed at the final follow up.  Unpaired t-tests were performed to determine if there was a statistically significant difference in AOFAS, VAS and FFI scores.  Mean Pre-operative scores were (AOFAS) 51.8, (VAS)7.36, and (FFI) 83.5, respectively. At the 5-year mark, the postoperative scores were 88.9, 2.24, 18.4 respectively and 83.6, for the KP scores. Furthermore, we compared those patients with a BMI < 30 kg/m2 to those with a BMI ≥ 30 kg/m2. This comparison showed no statistically significant post-operative difference between groups at 5 years.  The aim of the study was to determine the longevity of the procedure based on 5-year outcomes scores comparing preoperative and 5+-year AOFAS, VAS, and FFI scores. We found that there was a significant difference in all scores which suggests that this repair provides adequate relief of pain and improved outcomes at 5-years.  
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Author Dr. James M. Cottom Dr. James M. Cottom DPM, FACFAS is the owner and Director of the Florida Orthopedic Foot & Ankle Surgical Fellowship in Sarasota, FL. Dr. Cottom has practiced in Sarasota since 2007 and completed his fellowship training at the prestigious Orthopedic Foot & Ankle Center in Columbus, OH under the guidance 3 fellowship trained orthopedic foot & ankle surgeons. Dr. Cottom is a devoted patient advocate and is very involved in the most up to date technology in foot & ankle care and has published over 60 papers and book chapters in peer reviewed publications. Dr. Cottom also routinely lectures on cutting edge procedures both in the United States and internationally. Florida Orthopedic Foot & Ankle Center has graduated 13 fellows to date who are leaders in the profession and located all over the United States.

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