Acute complete injuries of the lateral ligament complex of the ankle in adults: A Comparison study of results of conservative versus surgical treatment

Authors

  • Ammar Marouf Tishreen University
  • safean yousef Tishreen University
  • maan saad Tishreen University

Abstract

Objective: to evaluate the functional outcomes and the devolopment of
complications after both conservative and surgical treatments of acute complete raptures of
the lateral ligament complex of the ankle in adults .
Patients and methods: A retrospective-prospective study included 42 adult patients
between the age of 18 and 59 years old. the patients were divided into two groups
(conservative and surgical).
the AOFAS & FADI indexes were performed after 6 weeks, 6 months, and 1 year after
treatment. the duration of the research was two years, from march 2019 to march 2021.
Results: There were statistically better results in the surgically treated group
according to the FADI index and the development of lateral ankle instability, with no
statistical difference between the two groups according to the AOFAS index .
the complications rate was higher in the first group(conservative).
recurrence occurred in 11.5% and chronic Lateral instability in 19.2% of patients.
gender and age did not affect the results
Conclusion: : considering the high incidence and the high rate of miss-diagnosis of
complete raptures of the ankle LCL, we recommend subjecting patients sustaining a lateral ankle
sprain to a thorough clinical and radiographic evaluation .
we also recommend surgical treatment for acute complete raptures of the lateral ligament complex
of the ankle especially in young and athletic patients to reduce the incidence of lateral ankle
instability, and to speed up their return to pre-injury activity levels

Author Biographies

Ammar Marouf, Tishreen University

Master Student- Department of Surgery, Faculty of Medicine,

safean yousef, Tishreen University

Professor- Department of Surgery, Faculty of Medicine

maan saad, Tishreen University

Professor- Department of Surgery, Faculty of Medicine

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Published

2022-07-31

How to Cite

1.
معروف ع, يوسف ص, سعد م. Acute complete injuries of the lateral ligament complex of the ankle in adults: A Comparison study of results of conservative versus surgical treatment. Tuj-hlth [Internet]. 2022Jul.31 [cited 2024Apr.27];44(3):265-83. Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/12381

Issue

Vol. 44 No. 3 (2022): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

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