Detaillierte Beitrags-Information
| Beitragstitel | The role of generalized hyperlaxity in anatomical stabilization failures of the ankle: state of the literature and recommendations |
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| Beitragscode | P072 |
| Autoren | |
| Präsentationsform | Poster |
| Themengebiete |
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| Abstract |
Introduction The ankle stabilization procedure of Broström-Gould (BG) has become the gold standard in the treatment of post-traumatic lateral instability. It is called an “anatomical” reconstruction because it is close to the basic anatomy. However, a certain number of patients do not respond to this treatment and remain with persistent or recurrent pathologic laxity. It has been suggested that generalized hyperlaxity may be an important risk factor for these failures. We propose a review of the literature and recommendations for treatment of failures following anatomical repair in patients with hyperlaxity. Methodology We have reviewed the pertinent literature concerning the different causes of failure after an ankle’s stabilization, and extracted from each article those cases related to situations of hyperlaxity, when they were mentioned. The recommendations for treatment were noted and compared. Results Between 1966 and 2018 we identified 38 articles related to this topic (Pubmed research). The BG procedure can give good clinical results in this patient population, but exposes these patients to between 4 to 6.3 times more recurrences. However, the most recent articles support continuation of the management by the technique of BG but reinforced with a synthetic strip. The graphs (which will illustrate this poster) summarize the clinical results after BG by comparing the hyperlaxity population to those without hyperlaxity. Conclusions Generalized hyperlaxity (patients with a Beighton score equal to or greater than 4/9) is more and more incriminated as a central factor in the failure of stabilization of the ankle. It is essential to diagnose hyperlaxity prior to performing any surgery. So far there is no consensus concerning the treatment of instability of the ankle in hyperlax patients. According to the literature there is a tendency in favor of the anatomic stabilization of BG, but reinforced with a synthetic strip in those patients. |