Clinical Report: Comparative Analysis of Arthroscopic and Open Broström-Gould Techniques
Overview
This systematic review and meta-analysis compared the clinical efficacy and postoperative recovery of arthroscopic versus open Brostrm-Gould techniques for chronic lateral ankle instability (CLAI). Findings indicated no significant differences in surgical time, AOFAS scores, or complication rates, while the arthroscopic approach showed better outcomes in K-P scores, VAS scores, and time to return to sports.
Background
Chronic lateral ankle instability (CLAI) is a prevalent issue following ankle sprains, affecting patients' daily activities and sports performance. The Brostrm-Gould procedure is a common surgical intervention for CLAI, with both open and arthroscopic techniques being utilized. Understanding the comparative effectiveness of these techniques is crucial.
Data Highlights
Outcome
Arthroscopic
Open
p-value
Surgical Time
MD = -5.33
0.21
AOFAS Scores
MD = 0.36
0.23
K-P Scores
MD = 0.78
0.04
VAS Scores
MD = -0.65
0.02
Return to Sports
MD = -3.91
0.03
Complication Rates
OR = 0.88
0.59
Key Findings
No significant difference in surgical time between arthroscopic and open techniques (p = 0.21).
AOFAS scores showed no significant difference (p = 0.23).
K-P scores (p = 0.04).
VAS scores (p = 0.02).
Time to return to sports (p = 0.03).
Overall complication rates were comparable (p = 0.59).
Clinical Implications
The findings suggest that while both surgical techniques yield comparable outcomes, the arthroscopic approach may facilitate a quicker return to sports and lower pain levels postoperatively. Clinicians should consider these factors when discussing surgical options with patients suffering from CLAI.
Conclusion
Both arthroscopic and open Brostrm-Gould techniques demonstrate similar efficacy in managing CLAI.
