Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle.

Snook, George A.; Chrisman, O. Donald; Wilson, Thomas C.

doi:10.2106/00004623-198567010-00001

Cited by 251 publications

(113 citation statements)

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“…Twelve of the results were excellent and two were good according to the criteria of Chrisman and Snook [24]. All patients returned to their amateur level of sports activities (basketball or football) and their basic military training at an average of 6 months after surgical repair.…”

Section: Resultsmentioning

confidence: 88%

“…There are more than 50 surgical techniques recommended for the treatment of lateral instability of the ankle [2,5,7,13,17,24], and we believe that both the anterior talofibular and the calcaneofibular ligaments (CFLs) must be repaired in order to prevent recurrence and to correct completely the instability [8,9,10].…”

Section: Discussionmentioning

confidence: 99%

“…Pre-operative and post-operative ankle functions were classified using the five criteria of Ahlgren and Larsson [1], and results were assessed according to the criteria of Chrisman and Snook [24].…”

Section: Indications For Surgerymentioning

confidence: 99%

“…Tendon grafts are used in augmentation reconstruction techniques, and functional stability can be obtained in about 90% with either non-anatomical or anatomical techniques [2,6,9,10,11,12,13,24]. Non-anatomical techniques limit subtalar joint movements, since the peroneal tendon is not advanced through the anatomical attachment sites of the lateral ligaments [7,26].…”

Section: Introductionmentioning

confidence: 99%

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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

Solakoğlu

Kiral

Pehlivan

et al. 2003

International Orthopaedics

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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

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Section: Resultsmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Indications For Surgerymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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

Solakoğlu

Kiral

Pehlivan

et al. 2003

International Orthopaedics

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“…8 However, the long-term results show postoperative loss of range of motion, recurrence of instability, and an increased incidence of degenerative changes of the hindfoot. 9 Maintenance of the full range of motion of the hindfoot has been shown to reduce the long-term risk of osteoarthritis and/or chronic pain. 10 Therefore, according to these previous reports, anatomic reconstructive surgery should be preferred to restore the normal kinematics of the hindfoot and to maintain satisfactory long-term results.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Anatomic Reconstruction of the Lateral Ligaments of the Ankle With Gracilis Autograft

Guillo

Archbold²,

Perera

et al. 2014

Arthroscopy Techniques

108

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Lateral ankle sprains are common; if conservative treatment fails and chronic instability develops, stabilization surgery is indicated. Numerous surgical procedures have been described, but those that most closely reproduce normal ankle lateral ligament anatomy and kinematics have been shown to have the best outcomes. Arthroscopy is a common adjunct to open ligament surgery, but it is traditionally only used to improve the diagnosis and the management of any associated intra-articular lesions. The stabilization itself is performed open because standard anterior ankle arthroscopy provides only partial visualization of the anterior talofibular ligament from above and the calcaneofibular ligament attachments cannot be seen at all. However, lateral ankle endoscopy can provide a view of this area that is superior to open surgery. We have developed a technique of ankle endoscopy that enables anatomic positioning of the repair or fixation of the graft. In this article we describe a safe and reproducible arthroscopic anatomic reconstruction of the lateral ligaments of the ankle using a gracilis autograft. The aim of this procedure is to obtain a more physiological reconstruction while maintaining all the advantages of an arthroscopic approach.

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Laxity and flexibility of the ankle following reconstruction with the Chrisman‐Snook procedure

Tohyama

Beynnon

Pope

et al. 1997

Journal Orthopaedic Research

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The effect of reconstruction of the anterior talofibular ligament with the Chrisman-Snook procedure on neutral zone laxity (anterior-posterior displacement at low loads) and flexibility (a measure of the nonlinear load-displacement response) of the ankle was investigated in vitro during the anterior drawer test. Neutral zone laxity was defined as the magnitude of anterior-posterior displacement of the ankle joint at +/- 2.5 N of applied load. The flexibility parameter was defined as the slope of a line between the natural logarithm of the anterior load applied to the ankle and the resulting displacement. After reconstruction with the Chrisman-Snook procedure, the values for neutral zone laxity of the ankle were significantly less than normal at 0 degree of plantar flexion, whereas the flexibility values were significantly greater than normal. This study revealed that, after the Chrisman-Snook procedure, values for ankle flexibility are not restored to normal even if those for neutral zone laxity are reduced to less than normal. The findings suggest that this nonanatomical reconstruction procedure does not reproduce normal kinematics of the ankle joint. This may help explain some of the adverse clinical reports associated with the Chrisman-Snook reconstruction procedure.

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Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle.

Cited by 251 publications

References 0 publications

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

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

Arthroscopic Anatomic Reconstruction of the Lateral Ligaments of the Ankle With Gracilis Autograft

Laxity and flexibility of the ankle following reconstruction with the Chrisman‐Snook procedure

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