Modified Watson-Jones technique for chronic lateral ankle instability in athletes: Clinical and radiological mid- to long-term follow-up

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• 作者：Federico  ; Morelli MD ; Dario  ; Perugia MD ; Antonio  ; Vadalà ; MD  ; ;   ; ^{anto.vada@libero.it} ; Pierluigi  ; Serlorenzi MD ; Andrea  ; Ferretti MD
• 关键词：Watson-Jones technique ; Lateral ankle instability ; Radiological evaluation
• 刊名：Foot and Ankle Surgery
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：17
• 期：4
• 页码：247-251
• 全文大小：273 K

文摘

Summary

Background

We clinically and radiologically assessed mid- to long-term follow-up of a group of patients treated with a modified Watson-Jones technique for chronic ankle instability.

Methods

Fourteen athletes were retrospectively evaluated with physical examination, and Tegner, Good and AOFAS scales; moreover, a 2-view stress, side-to-side X-ray, was performed.

Results

All patients were followed-up at a mean of 10.8 years. No one reported further ankle sprains. Mean Good scale value decreased from 3.7 to 1.6, while the Tegner scale decreased from 6.8 to 5.1; the mean AOFAS score was 92.2. Mean sagittal-plane ROM was 62.3¡ã (4.9¡ã S/S difference), while mean coronal-plane ROM was 25.5¡ã (3.8¡ã S/S difference). Mean X-ray talar tilt angle was 4.5¡ã (0.1¡ã S/S difference), while mean anterior drawer test angle was 5.4 mm (0.5 mm S/S difference).

Conclusions

The modified Watson-Jones procedure seems to be a reliable technique in providing satisfactory mid- to long-term clinical and radiological results.