Lateral augmentation reconstruction system versus modified Brostrom-Gould procedure: A meta-analysis of RCTs

Foot Ankle Surg. 2021 Apr;27(3):263-270. doi: 10.1016/j.fas.2020.11.001. Epub 2020 Nov 5.

Abstract

Background: The aim of this study is to compare the clinical efficacy between the ligament augmentation reconstruction system (LARS) and the modified Brostrom-Gould (MBG) operations in the treatment of chronic ankle instability.

Methods: We searched the MEDLINE, EMBASE, PubMed, Web of Science, the Cochrane library, and the Clinicaltrial.gov databases for eligible studies. The Review Manager 5.3 software was applied to compare various postoperative functional scoring, ankle stability and complications between the two groups.

Results: Four randomized controlled trials including a total of 209 patients were conducted. No significant difference was found in terms of postoperative FAOS, FAAM, ankle stability and complications between the LARS and MBG group.

Conclusions: The present meta-analysis suggested that there was no clinical superiority for the LARS operation over the MBG operation for patients with chronic ankle instability.

Keywords: Ligament augmentation reconstruction system; Meta-Analysis; Modified Brostrom-Gould chronic ankle instability.

Publication types

  • Comparative Study
  • Meta-Analysis
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Ankle Joint / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Joint Instability / surgery*
  • Lateral Ligament, Ankle / surgery*
  • Male
  • Orthopedic Procedures / adverse effects
  • Orthopedic Procedures / methods*
  • Pain Measurement
  • Plastic Surgery Procedures / adverse effects
  • Plastic Surgery Procedures / methods*
  • Postoperative Complications
  • Quality of Life
  • Randomized Controlled Trials as Topic*
  • Treatment Outcome
  • Young Adult