Early and Late Repair of Lateral Ligament of the Ankle

Gould, Nathaniel; Seligson, David; Gassman, Jeffrey

doi:10.1177/107110078000100206

Cited by 587 publications

(370 citation statements)

References 10 publications

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“…The functional results in both groups were good between 2 and 4 years after surgery. These results are comparable with many previous reports [4,8,12,14,16,17].…”

Section: Discussionsupporting

confidence: 93%

A novel reconstruction technique for chronic lateral ankle instability: comparison to primary repair

Järvelä

Weitz²,

Järvelä

et al. 2002

International Orthopaedics

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Twenty patients with lateral ankle instability were treated by a novel anatomical reconstruction technique (group A) and the results compared with 20 patients (group B) who, during the same period of time, underwent primary repair of ruptured lateral ligaments of the ankle. We reviewed 15 patients from group A and 17 patients from group B at a mean follow-up of between 2 and 4 years. The mean functional scores were good in both groups without significant difference, and there was no difference in the mean anterior talar translation between the two groups. We therefore conclude that chronic lateral instability of the ankle may be successfully treated, even in the presence of severely damaged, attenuated or absent ligament tissue.Résumé Vingt malades avec entorse à répétition par inversion et instabilité latérale de la cheville documentée ont été traitée avec une nouvelle technique de reconstruction anatomique (groupe A). Nous avons comparé les résultats avec 20 malades (groupe B) qui pendant la même période avait eu une réparation primaire des ligaments latéraux de la cheville. Nous avons examiné de nouveau 15 malades de groupe A, et 17 malades de groupe B avec un délai de 2 à 4 années dans les deux groupes. Les scores fonctionnels moyens étaient sans différence significative et classifiés comme bon. La translation antérieure moyenne d'astragale était aussi sans différence significative. Basé sur ces résultats, nous croyons que l'instabilité latérale de la cheville peut être traitée avec succès même si le tissu ligamentaire est sévèrement endommagé ou absent.

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“…The functional results in both groups were good between 2 and 4 years after surgery. These results are comparable with many previous reports [4,8,12,14,16,17].…”

Section: Discussionsupporting

confidence: 93%

A novel reconstruction technique for chronic lateral ankle instability: comparison to primary repair

Järvelä

Weitz²,

Järvelä

et al. 2002

International Orthopaedics

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“…In 1966, Broström described direct ligament repair which was anatomic and preserved the peroneal tendons [63]. The Gould modification incorporated the inferior extensor retinaculum, which has been shown to improve biomechanical strength of the repair by 60% [64,65]. This procedure was popularized after the presentation of successful outcomes in professional ballet dancers by Hamilton in 1993 and is presently the gold standard of surgical treatment of chronic ankle instability [66].…”

Section: Operative Management Evolution Of Surgical Treatmentmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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Purpose of review Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques. Recent findings Based on existing literature, non-operative treatment should always precede operative treatment of chronic ankle instability. If rehabilitation fails, Brostrom-Gould type ankle stabilization has been the preferred surgical option. Recent literature suggests that arthroscopic repair might reduce recovery time and improve outcomes in certain populations; however, there are higher rates of complication following these surgeries. In more high-risk populations, some literature reports that ligament repair with peroneus brevis transfer could be a more effective treatment option. Summary Currently, varying surgical techniques exist for the treatment of chronic ankle instability. While the more recently reported techniques show promise, it is important to note that there is little evidence showing they are more successful than traditional techniques. It is imperative that future studies focus on outcomes and complication rates of these newer procedures.

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“…A positive anterior drawer stress test indicates an ATFL rupture [4,9]. A positive talar tilt on varus ankle stress tests indicates an injury to the ATFL and CFL [7,9,10].…”

Section: Discussionmentioning

confidence: 99%

“…A positive anterior drawer stress test indicates an ATFL rupture [4,9]. A positive talar tilt on varus ankle stress tests indicates an injury to the ATFL and CFL [7,9,10]. Injury to the deltoid ligament is manifested by a widening of the medial clear space and a positive valgus stress test [11][12][13].…”

Section: Discussionmentioning

confidence: 99%