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Existing literature indicates positive outcomes with the arthroscopic Broström-Gould technique as a viable alternative to the established open procedure in adults. Nevertheless, there exists a dearth of comparative studies focusing on adolescents. The objective of this study was to evaluate and contrast the clinical results of adolescents undergoing either arthroscopic or open Broström-Gould techniques over a 2-year follow-up. We conducted a retrospective comparative analysis on patients aged 18 years and below, who underwent either arthroscopic or open Broström-Gould procedures for chronic lateral ankle instability during the period spanning January 2014 to December 2016. . The study included cases with at least 2-year follow-up. Key parameters such as age, sex, race, concomitant procedures, surgery duration, hospital stay length, and post-operative complications were documented. Additionally, the assessment of clinical outcomes involved the utilization of the Foot and Ankle Outcome Score (FAOS) at the 6-month post-operative follow-up. Seven arthroscopic and 13 open procedures were conducted, and no statistical differences were observed in patient demographics and pain scores. The open group exhibited a notably reduced duration of surgical procedure (open: 77.8 ± 17.6 min; arthroscopic: 100.7 ± 24.1 min; p = 0.03). Hospital stays and FAOS scores at 6 months were similar between the groups. Two complications occurred in the open group, involving suboptimal pain control and deep infection requiring re-admission and repeated surgeries. No complications were reported in the arthroscopic group, and only one patient in this group had concomitant preoperative intra-articular abnormalities. The arthroscopic Broström-Gould technique yields clinical outcomes similar to the open technique in addressing chronic lateral ankle instability in adolescents, and it exhibits lower complication rates.
Mishra et al. (Sun,) studied this question.