Effect of XXXX on clinical outcome of lateral ankle ligament reconstruction in cavovarus feet.

@entity1 @entity625 @entity179 @entity158 @entity85
BACKGROUND: @entity1 with idiopathic @entity85 and lateral ankle ligament instability often present with varying degrees of @entity625 . The purpose of this study was to determine whether the severity of @entity179 would impact the clinical outcome in @entity1 treated operatively for both @entity85 and lateral ankle ligament instability. MATERIALS AND METHODS: Twenty-two @entity1 were treated with lateral ankle ligament reconstruction and realignment foot osteotomy. American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Karlsson and Peterson (KP) scoring scale, Visual Analog Scale (VAS) for @entity158 , and level of satisfaction were obtained. Preoperative and postoperative ankle radiographs were reviewed and graded using the van Dijk score. @entity1 with Grade 0 and I @entity625 preoperatively were grouped together as   no to minimal @entity625 '' (Group 1) and those with Grade II and III @entity625 preoperatively as   moderate to severe @entity625 '' (Group 2). There were 14 ankles in Group 1 and eight ankles in Group 2. Mean followup was 60.4 months. RESULTS: Mean AOFAS and KP scores were significantly improved in Group 1 compared to Group 2 at latest followup, while VAS @entity158 scale trended lower in Group 1. There were 12 excellent/good results, one fair result, and one poor result in Group 1. @entity1 in Group 2 had three excellent/good results, two fair results, and three poor results. One of 14 @entity1 in Group 1 had progression of @entity625 , while five of eight @entity1 in Group 2 either had progression of @entity625 or required an ankle fusion. CONCLUSION: @entity1 treated with lateral ankle ligament reconstruction and cavovarus realignment osteotomy with no to minimal preoperative @entity625 have higher clinical scores and increased satisfaction compared to @entity1 with more advanced preoperative @entity625 . A cautious and realistic approach should be followed when recommending surgical treatment for this @entity1 population.
