{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:23:13Z","timestamp":1792192993631,"version":"4.4.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2011,7,29]],"date-time":"2011-07-29T00:00:00Z","timestamp":1311897600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2011,11]]},"abstract":"<jats:p>Background: Lateral ankle sprains account for 85% of ankle lesions.<\/jats:p>\n                  <jats:p>Hypothesis: Combined open and arthroscopic procedures could improve the diagnosis and management of intra-articular lesions and allow surgeons to perform minimally invasive anatomic reconstruction of the lateral ligament complex.<\/jats:p>\n                  <jats:p>Study Design: Case series; Level of evidence, 4.<\/jats:p>\n                  <jats:p>Methods: Forty consecutive patients underwent ankle arthroscopy for recurrent (2 or more episodes) lateral ankle instability unresponsive to nonoperative measures. The clinical diagnosis of mechanical instability was confirmed at imaging (plain radiographs and magnetic resonance imaging [MRI]) and arthroscopic assessment. All patients underwent arthroscopic Brostr\u00f6m-Gould repair for management of lateral ankle instability; secondary lesions were also managed. Postoperatively, the American Orthopaedic Foot &amp; Ankle Society (AOFAS) score was administered to assess the functional status; clinical examination and conventional radiographs were performed in all patients.<\/jats:p>\n                  <jats:p>Results: Thirty-eight patients were reviewed at an average postoperative follow-up of 9.8 years. The mean AOFAS score was 90 (range, 44-100) at the last follow-up. No significantly different outcomes were found in patients who had undergone microfractures for management of grade III to IV cartilage lesions compared with patients with no cartilage lesions. Postoperative AOFAS scores were graded as excellent and good in almost all patients (94.7%). Concerning failure rate, 2 patients (5.3%) reported a low AOFAS score: one patient underwent soft tissue removal for anterior impingement, and one received simultaneous medial ankle instability repair.<\/jats:p>\n                  <jats:p>Conclusion: The arthroscopic Brostr\u00f6m-Gould\u2013assisted technique could be a viable alternative to the gold-standard Brostr\u00f6m-Gould procedure for anatomic repair of chronic lateral ankle instability and management of intra-articular lesions. Prospective randomized controlled trials are needed.<\/jats:p>","DOI":"10.1177\/0363546511416069","type":"journal-article","created":{"date-parts":[[2011,7,30]],"date-time":"2011-07-30T00:03:03Z","timestamp":1311984183000},"page":"2381-2388","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":287,"title":["Arthroscopic-Assisted Brostr\u00f6m-Gould for Chronic Ankle Instability"],"prefix":"10.1177","volume":"39","author":[{"given":"Caio","family":"Nery","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Federal University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando","family":"Raduan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Federal University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Del Buono","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Trauma Surgery, Campus Biomedico University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inacio Diogo","family":"Asaumi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Federal University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moises","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Federal University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,7,29]]},"reference":[{"key":"bibr1-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2006.07.005"},{"issue":"4","key":"bibr2-0363546511416069","first-page":"458","volume":"37","author":"Baumhauer JF","year":"2002","journal-title":"J Athl Train"},{"key":"bibr3-0363546511416069","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195941060-00002"},{"key":"bibr4-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(00)80074-5"},{"key":"bibr5-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2006.05.003"},{"issue":"1","key":"bibr6-0363546511416069","first-page":"17","volume":"69","author":"Chan KW","year":"2011","journal-title":"Bull NYU Hosp Jt Dis"},{"key":"bibr7-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2003.09.035"},{"key":"bibr8-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508319050"},{"key":"bibr9-0363546511416069","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0213"},{"key":"bibr10-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00095-4"},{"key":"bibr11-0363546511416069","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199308000-00016"},{"key":"bibr12-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2006.07.002"},{"key":"bibr13-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e3181a3d790"},{"key":"bibr14-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/036354657700500606"},{"key":"bibr15-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110078000100206"},{"key":"bibr16-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509351556"},{"key":"bibr17-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110079301400101"},{"key":"bibr18-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/03635465020300031601"},{"key":"bibr19-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2006.08.001"},{"key":"bibr20-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2010.02.002"},{"key":"bibr21-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902001106"},{"key":"bibr22-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-008-0557-3"},{"key":"bibr23-0363546511416069","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2011.0153"},{"key":"bibr24-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508327541"},{"key":"bibr25-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/036354659402200303"},{"key":"bibr26-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002101203"},{"key":"bibr27-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110079902001107"},{"key":"bibr28-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504271058"},{"key":"bibr29-0363546511416069","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00869"},{"key":"bibr30-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110070402500107"},{"key":"bibr31-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1177\/107110070002100805"},{"key":"bibr32-0363546511416069","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.78B4.0780562"}],"container-title":["The American Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546511416069","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0363546511416069","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0363546511416069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:42:23Z","timestamp":1777369343000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0363546511416069"}},"subtitle":["A Long-Term Follow-up"],"short-title":[],"issued":{"date-parts":[[2011,7,29]]},"references-count":32,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2011,11]]}},"alternative-id":["10.1177\/0363546511416069"],"URL":"https:\/\/doi.org\/10.1177\/0363546511416069","relation":{},"ISSN":["0363-5465","1552-3365"],"issn-type":[{"value":"0363-5465","type":"print"},{"value":"1552-3365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,29]]}}}