Arthroscopic anatomical reconstruction of the lateral ankle ligaments: A technical simplification

Lopes, Ronny; Decante, Cyrille; Geffroy, Loïc; Brulefert, Kévin; Noailles, Thibaut

doi:10.1016/j.otsr.2016.09.003

Cited by 22 publications

(17 citation statements)

References 10 publications

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“…The most important finding of the present study was that there was no difference in identifying the calcaneal insertion of the CFL between the percutaneous and arthroscopic techniques. As anatomic lateral ligaments reconstruction to chronic ankle instability provides satisfactory clinical outcomes, more and more studies introduced the arthroscopic techniques to reconstruct ankle lateral ligaments [5–10, 14]. The goal of the arthroscopic technique was to reduce the morbidity of the surgical procedure without change the original anatomic attachments.…”

Section: Discussionmentioning

confidence: 99%

“…In a cadaver study, the calcaneal tunnel drilled under arthroscopic monitoring was 3.3 ± 2.8 mm too anterior from the CFL calcaneal footprint [13]. Thereafter, more recently studies introduced a new percutaneous technique to make the calcaneal tunnel [14, 15]. The mean distance from the Kirschner wire drilled through percutaneous technique to the center of the distal insertion of the CFL was 2.4 ± 1.8 mm.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it was a very simple, reproducible, and safe technique [15]. Other advantages of this percutaneous technique included preserving tissue structure, unnecessary adjustment of the body position, and no additional transplant device requirement [14]. In the current study, we compared percutaneous and arthroscopic technique in identifying the footprint of the CFL at the calcaneus.…”

Section: Discussionmentioning

confidence: 99%

“…This technique was described specifically in previous studies [14, 15]. The contour of the lateral malleolus was identified.…”

Section: Methodsmentioning

confidence: 99%

“…The shortage of arthroscopic procedure in drilling the calcaneal tunnel is the calcaneal insertion of the CFL is difficult to visualize [13]. Thereafter, previous studies introduced a new, simple percutaneous technique to drill the calcaneal tunnel [14, 15]. They demonstrated that the percutaneous technique was more accurate to identify the location of the calcaneal tunnel than arthroscopic technique.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…This technique was described specifically in previous studies [14, 15]. The contour of the lateral malleolus was identified.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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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Chronic Ankle Instability

Hua

Chen

Amendola

et al. 2022

Arthroscopic Techniques and Anatomy of the Foot and Ankle

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The ankle ligament reconstruction-return to sport after injury (ALR-RSI) is a valid and reproducible scale to quantify psychological readiness before returning to sport after ankle ligament reconstruction

Sigonney

Lopes

Bouché

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose Chronic ankle instability is the main complication of ankle sprains and requires surgery if non-operative treatment fails. The goal of this study was to validate a tool to quantify psychological readiness to return to sport after ankle ligament reconstruction. Methods The form was designed like the anterior cruciate ligament-return to sport after injury scale and “Knee” was replaced by the term “ankle”. The ankle ligament reconstruction-return to sport after injury (ALR-RSI) scale was filled by patients who underwent ankle ligament reconstruction and were active in sports. The scale was then validated according to the international COSMIN methodology. The AOFAS and Karlsson scores were used as reference questionnaires. Results Fifty-seven patients (59 ankles) were included, 27 women. The ALR-RSI scale was strongly correlated with the Karlsson score (r = 0.79 [0.66–0.87]) and the AOFAS score (r = 0.8 [0.66–0.87]). A highly significant difference was found in the ALR-RSI between the subgroup of 50 patients who returned to playing sport and the seven who did not: 68.8 (56.5–86.5) vs 45.0 (31.3–55.8), respectively, p = 0.02. The internal consistency of the scale was high (α = 0.96). Reproducibility of the test–retest was excellent (ρ = 0.92; 95% CI [0.86–0.96]). Conclusion The ALR-RSI is a valid, reproducible scale that identifies patients who are ready to return to the same sport after ankle ligament reconstruction. This scale may help to identify athletes who will find sport resumption difficult. Level of evidence III.

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Arthroscopic anatomical reconstruction of the lateral ankle ligaments: A technical simplification

Cited by 22 publications

References 10 publications

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

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

Chronic Ankle Instability

The ankle ligament reconstruction-return to sport after injury (ALR-RSI) is a valid and reproducible scale to quantify psychological readiness before returning to sport after ankle ligament reconstruction

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