Brostrom Repair for Chronic Ankle Instability

This trial examines different methods to address chronic ankle instability, a condition that causes the ankle to feel wobbly or weak. Researchers aim to compare the outcomes of two ankle surgeries: the standard Brostrom repair and an enhanced version called Brostrom repair with augmentation, which uses a special implant called BioBrace. They will assess how patients feel and function before and after these surgeries. Individuals who have experienced weak ankles for over three months, confirmed by a doctor, and have not undergone any previous ankle surgeries may be suitable candidates for this study. As an unphased trial, this study provides a unique opportunity to explore innovative surgical options for improving ankle stability.

Research has shown that the Brostrom repair with added support is generally safe. Studies indicate that enhancing the Brostrom repair with materials like suture tape leads to excellent outcomes. This method is considered as safe as the traditional Brostrom repair. Patients who received this treatment reported feeling better and returned to their activities sooner.

Researchers are excited about these treatments for chronic ankle instability because they offer potentially more robust repair options. The Augmented Brostrom Repair (ABR) is particularly intriguing as it enhances the standard Brostrom procedure with BioBrace, a bio-inductive scaffold that supports tissue healing and strength. This augmentation might lead to better outcomes in terms of stability and recovery time compared to the traditional method. Unlike the standard-of-care Brostrom repair, ABR could provide a more durable solution, reducing the risk of recurrence and improving patient mobility more effectively.

This trial will compare two methods for treating chronic ankle instability: the Standard Brostrom Repair (SBR) and the Augmented Brostrom Repair (ABR). Research has shown that a Brostrom repair with extra support, like the ABR, effectively treats chronic ankle instability. Studies indicate that adding this support improves ankle stability more than the standard method. Specifically, this enhanced repair significantly boosts ankle stability by improving scores on tests that measure ankle movement. Patient outcomes are similar, with both methods providing the same level of improvement. Additionally, patients report satisfaction and less pain after these procedures. In summary, the enhanced approach offers a strong option for better ankle support and recovery.¹²⁴⁶⁷