All Arthroscopic Remnant-Preserving Technique to Reconstruct the Lateral Ankle Ligament Complex

Gui, Jian‐Fang; Jiang, Yiqiu; Li, Yang; Tao, Tianqi; Li, Wang; Zhang, Kaibing; Yao, Wangxiang; Dong, Ping

doi:10.1016/j.eats.2016.11.013

Cited by 13 publications

(13 citation statements)

References 22 publications

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“…6 The ATTL can be observed arthroscopically. 7 There are already several reports of arthroscopic lateral ankle ligament reconstruction for the anterior talofibular ligament, [8][9][10][11] calcaneofibular ligament, [12][13][14][15][16][17] posterior talofibular ligament, 18 and lateral talocalcaneal ligament. 19 Here we describe the arthroscopic reconstruction of the ATTL using a free tendon graft (ARATTL).…”

Section: Introduction (With Video Illustration)mentioning

confidence: 99%

Arthroscopic Reconstruction of the Anterior Tibiotalar Ligament Using a Free Tendon Graft

Higashiyama

Sekiguchi

Takata

et al. 2020

Arthroscopy Techniques

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Deltoid ligament injuries account for 5.1% to 15.8% of ankle sprains and occur with concomitant lateral ankle sprains. The anterior tibiotalar ligament (ATTL), located within the deep layer of the deltoid ligament complex, connects the talus and the tibia on the medial side of the ankle and controls ankle eversion and rotation. If conservative treatment for chronic medial ankle instability after an ankle sprain fails, ATTL repair or reconstruction might be necessary. Arthroscopic reconstruction techniques of the lateral ankle ligaments recently have been reported. Here, we describe arthroscopic reconstruction of the ATTL using a free tendon graft (ARATTL). This technique is less invasive than other treatments and results in a more stable medial ankle joint.

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Section: Introduction (With Video Illustration)mentioning

confidence: 99%

Arthroscopic Reconstruction of the Anterior Tibiotalar Ligament Using a Free Tendon Graft

Higashiyama

Sekiguchi

Takata

et al. 2020

Arthroscopy Techniques

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“…In the past decade, ankle arthroscopy has been more and more frequently used in sports medicine. Thereafter, arthroscopic anatomic lateral ankle ligaments reconstruction procedures have been introduced [5–10]. The authors believed that arthroscopic anatomic reconstruction technique is reproducible and safe.…”

Section: Introductionmentioning

confidence: 99%

No Difference between Percutaneous and Arthroscopic Techniques in Identifying the Calcaneal Insertion during Ankle Lateral Ligament Reconstruction: A Cadaveric Study

Liu

Zhou

et al. 2019

BioMed Research International

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Background. Both percutaneous and arthroscopic techniques have been introduced in anatomic ankle lateral ligaments reconstruction. The purpose of this study was to compare these two techniques in identifying the calcaneal insertion of the calcaneofibular ligament (CFL). Methods. Fifteen fresh-frozen human ankle cadaver specimens were used in this study. Each specimen was tested in three stages. For stage 1, each specimen was evaluated under arthroscopy. After debridement was performed, the insertion of the CFL on the calcaneus was identified, and a 1.5mm Kirschner wire was drilled at the center of the insertion. For stage 2, a percutaneous technique was used to identify the center of the insertion of the CFL. A second 1.5 mm Kirschner wire was drilled through the skin marker. For stage 3, the ankle was dissected, the footprint of the CFL was identified under direct vision, and the distances between the center of the CFL insertion on the calcaneus and the two Kirschner wires were measured, respectively. Results. In the arthroscopic technique group, the mean distance from the Kirschner wire to the center of the CFL insertion in the calcaneus was 3.4 ± 1.3 mm. In the percutaneous technique group, the mean distance from the Kirschner wire to the center of the CFL insertion was 3.2 ± 1.4 mm. No significant difference was found between the two groups. Conclusion. No difference in identifying the calcaneal insertion of the CFL was found between the percutaneous and the arthroscopic ankle lateral ligaments reconstruction technique. Both techniques can be used during anatomic ligaments reconstruction in treatment of chronic ankle instability.

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“…Several technical reports 5-9 and short-term clinical results [10][11][12][13] of arthroscopic lateral ankle ligament reconstruction have been published. Although the remnant-preserving technique has already been reported in 2 studies, 32,33 neither study repaired the remnant. On the contrary, the ATFL remnant and graft can share the load in our procedure because they are simultaneously fixed with the screw at the fibular tunnel.…”

Section: Discussionmentioning

confidence: 99%

Anatomical Arthroscopic Anterior Talofibular Ligament Repair and Reconstruction Using a Free Tendon

Higashiyama

Sekiguchi

Takata

et al. 2020

Arthroscopy Techniques

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Arthroscopic techniques for anterior talofibular ligament (ATFL) repair and reconstruction have been developed in recent years. We simultaneously performed anatomical arthroscopic ATFL repair and reconstruction using a free tendon graft. The ATFL remnant is carefully dissected only at the footprint of the superior limb of the ATFL, and a bone tunnel is created on each side of the fibula and talus. A soft suture anchor with 2 sets of threads is inserted into the fibular tunnel. One set of threads is used to grab the ATFL remnant via a lasso-loop technique, whereas the other set of threads is used to introduce the ATFL graft. The graft is first fixed with a screw in the talar tunnel. Subsequently, the ATFL remnant and the graft are tightened simultaneously by pulling the 2 sets of suture anchor threads at the fibular tunnel and are fixed with a screw. This technique provides the possible advantages of remnant preservation and promotion of load sharing by the repaired ATFL remnant and the reconstructed ATFL graft.

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All Arthroscopic Remnant-Preserving Technique to Reconstruct the Lateral Ankle Ligament Complex

Cited by 13 publications

References 22 publications

Arthroscopic Reconstruction of the Anterior Tibiotalar Ligament Using a Free Tendon Graft

Arthroscopic Reconstruction of the Anterior Tibiotalar Ligament Using a Free Tendon Graft

No Difference between Percutaneous and Arthroscopic Techniques in Identifying the Calcaneal Insertion during Ankle Lateral Ligament Reconstruction: A Cadaveric Study

Anatomical Arthroscopic Anterior Talofibular Ligament Repair and Reconstruction Using a Free Tendon

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