PMID- 35434967
OWN - NLM
STAT- MEDLINE
DCOM- 20220511
LR  - 20230916
IS  - 1757-7861 (Electronic)
IS  - 1757-7853 (Print)
IS  - 1757-7853 (Linking)
VI  - 14
IP  - 5
DP  - 2022 May
TI  - Percutaneous Inferior Extensor Retinaculum Augmentation Technique for Chronic 
      Ankle Instability.
PG  - 977-983
LID - 10.1111/os.13248 [doi]
AB  - OBJECTIVE: To specify indications and contraindications of the modified 
      percutaneous inferior extensor retinaculum augmentation (PIERA) technique for 
      chronic ankle instability cases, and to introduce technique details and report 
      surgical outcomes and complications. METHODS: The PIERA technique was performed 
      on seven patients with chronic ankle instability (four females and three males, 
      36.4 +/- 15.1 years of age, and course of symptoms of 33.7 +/- 8.8 months) from June 
      to October 2018 in this retrospective study of case series. All patients 
      demonstrated attenuated ligamentous tissue quality, which was confirmed using 
      preoperative ankle MRI. IER were drew up to the distal fibula using suture 
      anchors with the ankle in neutral position for all cases, to engage the entire 
      IER in reconstructing the stability of the ankle. Patients were assessed using 
      American Orthopaedic Foot and Ankle Society Ankle-Hindfoot (AOFAS) score and 
      Cumberland Ankle Instability Tool (CAIT) scores pre- and postoperatively at the 
      last follow-up examination. Preoperative and postoperative outcome scores of 
      patients were compared using paired t-test. A p value of less than 0.05 was 
      regarded statistically significant. RESULTS: Mean follow-up duration was 
      16.7 +/- 1.6 months. The mean AOFAS score significantly improved from 66.9 +/- 11.2 
      preoperatively to 93.7 +/- 8.5 postoperatively (P = 0.001). Mean CAIT score 
      significantly improved from 13.1 +/- 4.7 preoperatively to 26.3 +/- 1.8 
      postoperatively (P = 0.001). Patients did not report any wound healing problem, 
      numbness, swelling, or instability at the last follow-up examination, except for 
      one patient who reported pain and minimal stiffness, and presented an AOFAS score 
      of less than 80 and a CAIT score below 24. All patients returned to at least 
      recreational sport activity level. CONCLUSION: The PIERA technique can improve 
      the functional outcomes of patients with chronic ankle instability with few 
      complications.
CI  - (c) 2022 The Authors. Orthopaedic Surgery published by Tianjin Hospital and John 
      Wiley & Sons Australia, Ltd.
FAU - Cao, Shengxuan
AU  - Cao S
AD  - Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
FAU - Wang, Chen
AU  - Wang C
AD  - Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
FAU - Wang, Xu
AU  - Wang X
AD  - Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
FAU - Ma, Xin
AU  - Ma X
AUID- ORCID: 0000-0003-1659-4600
AD  - Department of Orthopedics, Huashan Hospital, Fudan University, Shanghai, China.
LA  - eng
GR  - 2021QD037/Huashan Hospital/
GR  - 81772295/National Natural Science Foundation of China/
GR  - 82172378/National Natural Science Foundation of China/
GR  - SHDC2020CR3071B/Shanghai Shenkang Hospital Development Center/
PT  - Journal Article
DEP - 20220418
PL  - Australia
TA  - Orthop Surg
JT  - Orthopaedic surgery
JID - 101501666
SB  - IM
MH  - Ankle
MH  - Ankle Joint/surgery
MH  - Arthroscopy/methods
MH  - Female
MH  - Humans
MH  - *Joint Instability/surgery
MH  - *Lateral Ligament, Ankle/surgery
MH  - Male
MH  - Retrospective Studies
PMC - PMC9087451
OTO - NOTNLM
OT  - chronic ankle instability
OT  - complication
OT  - functional outcome
OT  - inferior extensor retinaculum
OT  - modified Brostrom-Gould procedure
EDAT- 2022/04/19 06:00
MHDA- 2022/05/12 06:00
PMCR- 2022/04/18
CRDT- 2022/04/18 06:45
PHST- 2022/02/03 00:00 [revised]
PHST- 2021/01/16 00:00 [received]
PHST- 2022/02/18 00:00 [accepted]
PHST- 2022/04/19 06:00 [pubmed]
PHST- 2022/05/12 06:00 [medline]
PHST- 2022/04/18 06:45 [entrez]
PHST- 2022/04/18 00:00 [pmc-release]
AID - OS13248 [pii]
AID - 10.1111/os.13248 [doi]
PST - ppublish
SO  - Orthop Surg. 2022 May;14(5):977-983. doi: 10.1111/os.13248. Epub 2022 Apr 18.