{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:18:05Z","timestamp":1790864285588,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,4,1]],"date-time":"2010-04-01T00:00:00Z","timestamp":1270080000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2010,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of the modified Brostr\u00f6m procedure combined with ankle arthroscopy for chronic ankle instability (CAI) accompanied by intra\u2010articular symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified 85 consecutive patients with CAI (87 ankles). There were 58 male patients (58 ankles) and 27 female patients (29 ankles) with a mean age of 24.4 years (range, 14 to 36 years). All the patients had intra\u2010articular symptoms. Ankle arthroscopic surgery was performed initially to manage any intra\u2010articular lesions. This was followed by the modified Brostr\u00f6m procedure, including shortening of the anterior talofibular ligament and\/or calcaneofibular ligament, as well as extensor retinaculum augmentation. All the intra\u2010articular lesions found during surgery were recorded. American Orthopaedic Foot &amp; Ankle Society (AOFAS) scores were obtained before surgery and at follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intra\u2010articular lesions were found in 79 ankles (90.8%), including 75 with synovitis and soft\u2010tissue impingement, 33 with chondral injuries, 23 with anterior tibial osteophytes, 7 with loose bodies, and 6 with distal tibiofibular syndesmosis injuries. A total of 79 patients (92.9%) (81 ankles) were followed up for a mean of 29 months (range, 12 to 47 months). The mean AOFAS score improved from 46.6 \u00b1 8.1 preoperatively to 86.5 \u00b1 7.6 postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). Mean postoperative AOFAS scores were significantly higher in patients without chondral lesions than in those with chondral lesions (89.76 \u00b1 5.88 and 81.35 \u00b1 7.18, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). Improvements in AOFAS scores after surgery were significantly greater in patients without chondral lesions than in those with chondral lesions (42.28 \u00b1 9.04 and 36.06 \u00b1 11.85, respectively;\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified Brostr\u00f6m procedure combined with ankle arthroscopy produced satisfactory surgical outcomes in patients with CAI and intra\u2010articular symptoms. Accompanying chondral injuries were associated with poorer surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, therapeutic case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2010.02.002","type":"journal-article","created":{"date-parts":[[2010,4,2]],"date-time":"2010-04-02T04:35:21Z","timestamp":1270182921000},"page":"524-528","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":150,"title":["Combination of Modified Brostr\u00f6m Procedure With Ankle Arthroscopy for Chronic Ankle Instability Accompanied by Intra\u2010articular Symptoms"],"prefix":"10.1002","volume":"26","author":[{"given":"Yinghui","family":"Hua","sequence":"first","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunxia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiwu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Arthroscopy Surgery Huashan Hospital Fudan University Shanghai 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Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}