Late-term reconstruction of lateral ankle ligaments using a split peroneus brevis tendon graft (Colville's technique) in patients with chronic lateral instability of the ankle

Abstract

We reviewed 14 patients with chronic lateral instability of the ankle treated by Colville's technique between 1996 and 2001. The mean patient age was 25 (20-35) years and all were men. The mean period between injury and surgery was 25 (18-32) months, and the mean follow-up was 20 (14-32) months. Twelve of the results were excellent and two were good according to the criteria of Chrisman and Snook. All patients returned to normal daily activity levels at an average of 6 months following surgery. Résumé

The anterior talo-fibular ligament reconstruction in surgical treatment of chronic lateral ankle instability

“…Results are dependent on various factors, for example, the position of the patient's foot, the force applied to the foot and its ability to withstand the force, etc. In fact, we lack the criteria to distinguish tears of one ligament from those of a combination of ligaments [4,5,14,19,22,24,25]. In Table 1 Mean values of clinical Good score prior to and one year after surgery with standard deviations; patients sorted according to age detecting an injury of the ATFL and/or CFL it is also important to document their exact extent.…”

“…There are two main views with respect to treatment. The first group favours primary surgical repair [3,12,13,15,17,23,25], whilst the second prefers conservative treatment [6,10,11].…”

Split Peroneus Brevis Tendon: An Unusual Cause of Ankle Pain and Instability

“…It is associated with recurrent injuries and repetitive sprains. 5,6 Ankle injuries can affect medial and lateral ligaments, but lateral ligament injuries are more common: 85% of ankle injuries involve the lateral ligaments.…”

“…9,13 Common complications of surgery include numbness, hyperesthesia, crepitus, pain, and instability. 5,9,13 A Cochrane review of 20 randomized controlled trials involving 2262 patients found insufficient evidence to determine the relative effectiveness of surgery versus conservative therapy for lateral ankle injuries. 16 We found no evidence regarding the relative effectiveness of surgery versus conservative therapy for peroneal injuries.…”

“…Physical examination consists of inspection, palpation for tenderness, swelling, crepitus, ankle and subtalar range of motion, talar tilt, and anterior drawer signs. 4,5,13 It is important to compare the injured ankle to the uninjured ankle. While they are uncommon, the physician should rule out sensory abnormalities and muscle atrophy.…”