Comparison of Arthroscopic and Open Brostrom Surgery for Treating Chronic Ankle Instability in Adults

What this Trial Is About

Ankle sprains are common injuries that can lead to chronic ankle instability requiring surgery. This study compares two surgical methods for treating this condition the traditional open Brostrom-Gould technique and the newer arthroscopic Brostrom approach. The goal is to evaluate which method provides better pain relief and improved function. The trial is randomized, blinded, and conducted at multiple centers to provide reliable comparisons. Participants will be randomly assigned to receive either the open Brostrom repair or the arthroscopic Brostrom procedure. Both surgeries involve ligament repair with similar anesthesia and post-operative care including weight-bearing and motion exercises starting within weeks after surgery. Patients will be evaluated at 3, 6, 12, 24, and 48 weeks after surgery to monitor healing, complications, and functional outcomes. During the study, participants will complete questionnaires assessing ankle stability, pain, foot function, and overall health quality. Researchers will track major complications such as infections or nerve damage, along with minor issues like suture discomfort. The assessments will use validated tools including the Cumberland Ankle Instability Tool, American Orthopedic Foot and Ankle Society score, Visual Analogue Scale, Foot Function Index, and SF-36 survey. The total follow-up period is 48 weeks, allowing careful monitoring of recovery and surgical effects.

Arthroscopic Versus Open Brostrom for Ankle Instability