The Clinical Outcomes of the Modified Broström vs Anatomic Reconstruction Operation in CLAI and GJL

NCT ID: NCT05196906

Last Updated: 2025-04-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2025-12-31

Brief Summary

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Investigators designed this prospective cohort study to compare the clinical outcomes of modified Broström operation and anatomical reconstruction for the treatment of CLAI and GJL.

Detailed Description

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The modified Broström operation is still the first line to treat chronic lateral ligament instability (CLAI). However, some studies indicate the modified Broström operation may bring a higher rate of re-injury in generalized joint laxity (GJL). Anatomical reconstruction was reported to generate similar results and less rate of re-injury compared in patients with CLAI. However, the clinical outcomes of the two operations are not discussed in CLAI and GJL. So, investigators designed this prospective cohort study. The primary outcomes are Karlsson, Foot and Ankle Outcome Score (FAOS), and Foot and Ankle Ability Measure (FAAM) scores. The secondary outcomes are anterior displacement and talar tilt angle in stress radiography, the rate of re-injury.

Conditions

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Ankle Sprains Instability, Joint Joint Hypermobility

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Modified Broström operation group

Patients who accept a modified Broström operation

Modified Broström operation and anatomic reconstruction operation

Intervention Type PROCEDURE

Patients with CLAI and GJL will accept the Modified Broström operation or anatomic reconstruction operation.

Anatomic reconstruction operation group

Patients who accept an anatomic reconstruction

Modified Broström operation and anatomic reconstruction operation

Intervention Type PROCEDURE

Patients with CLAI and GJL will accept the Modified Broström operation or anatomic reconstruction operation.

Interventions

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Modified Broström operation and anatomic reconstruction operation

Patients with CLAI and GJL will accept the Modified Broström operation or anatomic reconstruction operation.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Clinical diagnosis of lateral ankle pain and instability Beighton score ≥4 Age with 18 to 60 years

Exclusion Criteria

Patients with an acute or subacute ankle injury (within 3 months) Injury of the deltoid ligament Alignment of lower extremity greater than 5 degrees Fractures of the lower extremity Stage III or IV osteoarthritis Patients who refused to participate in the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jiang Dong

Chief physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dong Jiang, MD

Role: PRINCIPAL_INVESTIGATOR

Peking University Third Hosptial

Locations

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Peking University Third Hospital

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Dong Jiang, MD

Role: CONTACT

13811280948

Anhong Wang, MD

Role: CONTACT

18501325799

Facility Contacts

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Dong Jiang, MD

Role: primary

13811280948

References

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de Vries JS, Krips R, Sierevelt IN, Blankevoort L, van Dijk CN. Interventions for treating chronic ankle instability. Cochrane Database Syst Rev. 2011 Aug 10;(8):CD004124. doi: 10.1002/14651858.CD004124.pub3.

Reference Type BACKGROUND
PMID: 21833947 (View on PubMed)

Michels F, Cordier G, Guillo S, Stockmans F; ESKKA-AFAS Ankle Instability Group. Endoscopic Ankle Lateral Ligament Graft Anatomic Reconstruction. Foot Ankle Clin. 2016 Sep;21(3):665-80. doi: 10.1016/j.fcl.2016.04.010.

Reference Type BACKGROUND
PMID: 27524711 (View on PubMed)

Sacks HA, Prabhakar P, Wessel LE, Hettler J, Strickland SM, Potter HG, Fufa DT. Generalized Joint Laxity in Orthopaedic Patients: Clinical Manifestations, Radiographic Correlates, and Management. J Bone Joint Surg Am. 2019 Mar 20;101(6):558-566. doi: 10.2106/JBJS.18.00458. No abstract available.

Reference Type BACKGROUND
PMID: 30893238 (View on PubMed)

Xu HX, Lee KB. Modified Brostrom Procedure for Chronic Lateral Ankle Instability in Patients With Generalized Joint Laxity. Am J Sports Med. 2016 Dec;44(12):3152-3157. doi: 10.1177/0363546516657816. Epub 2016 Aug 5.

Reference Type BACKGROUND
PMID: 27496909 (View on PubMed)

Park KH, Lee JW, Suh JW, Shin MH, Choi WJ. Generalized Ligamentous Laxity Is an Independent Predictor of Poor Outcomes After the Modified Brostrom Procedure for Chronic Lateral Ankle Instability. Am J Sports Med. 2016 Nov;44(11):2975-2983. doi: 10.1177/0363546516656183. Epub 2016 Aug 1.

Reference Type BACKGROUND
PMID: 27480980 (View on PubMed)

Other Identifiers

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M2021565

Identifier Type: -

Identifier Source: org_study_id

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