Inestabilidad lateral aguda de tobillo. Estudio comparativo entre el tratamiento quirúrgico mínimamente invasivo y el tratamiento funcional
Abstract
Introduction: Lateral ankle instability is a frequently underdiagnosed condition. The objective of this study was to evaluate two treatment approaches: functional and surgical. We hypothesized that ligament reconstruction using peripheral tissue promotes scar formation, stabilizing the joint and leading to better recovery outcomes compared to functional treatment. Materials and Methods: Between 2021 and 2023, 48 patients with lateral ankle instability were treated. Stress radiographs were performed by applying a varus force to the hindfoot while stabilizing the distal leg and comparing the affected ankle with the contralateral healthy ankle. Patients were divided into two groups according to the treatment received: Group A (minimally invasive surgical technique) and Group B (functional treatment). Results: The comparative results were as follows: Visual Analog Scale scores: Group A: 9.6, Group B: 7.26. American Orthopaedic Foot & Ankle Society (AOFAS) scores: Group A: 99.7, Group B: 85.3. Additional outcomes assessed included residual instability, time to return to previous activities, and complications. Conclusions: This study suggests that minimally invasive surgical treatment for lateral ankle instability is an effective option, providing faster recovery and better clinical outcomes compared to functional treatment, with a low complication rate.Downloads
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