Modified classifications and surgical decision-making process for chronic anterior talofibular ligament injuries based on the correlation of imaging studies and arthroscopic findings

Han, Jing; Qian, Shenglong; Lian, Junhong; Wu, Helin; Zheng, Bin; Wu, Xifu; Xu, Feng; Wei, Shijun

doi:10.1007/s00264-023-05896-6

Cited by 2 publications

(4 citation statements)

References 33 publications

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“…This procedure is commonly performed using arthroscopic examination and Broström-Gould repair. ( Han et al, 2023 ). This anatomical repair with a direct overlapping suture and further suturing under the lateral extensor muscle reinforces ankle repair ( Aydogan et al, 2006 ).…”

Section: Discussionmentioning

confidence: 99%

Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study

Wang,

Yang,

You

et al. 2024

Front. Bioeng. Biotechnol.

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Background: The transfer of the anterior tibiofibular ligament distal fascicle (ATiFL-DF) for the augmentation repair of the anterior talofibular ligament (ATFL) shows potential as a surgical technique. However, evidences on the benefits and disadvantages of this method in relation to ankle joint function are lacking.Purpose: This study aimed to provide comprehensive experimental data to validate the feasibility of ATiFL-DF transfer augmentation repair of the ATFL.Methods: This study included 50 embalmed ankle specimens to measure various morphological features, such as length, width, thickness, and angle, for evaluating similarities between the ATiFL-DF and ATFL. Furthermore, 24 fresh-frozen ankle specimens were examined for biomechanical testing of the ATiFL-DF transfer augmented repair of the ATFL. Finally, 12 pairs of ATiFL-DF and ATFL tissues from fresh-frozen ankle specimens were treated with gold chloride staining to analyze mechanoreceptor densities.Results: Anatomical studies found that the lengths and thicknesses of the ATFL and ATiFL-DF are similar. Biomechanical outcomes showed that performing ATiFL-DF transfer for ATFL repair can improve the stability of the talus and ankle joints. This is evident from the results of the anterior drawer, axial load, and ultimate failure load tests. However, performing ATiFL-DF transfer may compromise the stability of the distal tibiofibular joint, based on the Cotton and axial load tests at an external rotation of 5°. Analysis of the histological findings revealed that mechanoreceptor densities for four types of mechanoreceptors were comparable between the ATiFL-DF and ATFL groups.Conclusion: ATiFL-DF transfer is a viable method for augmenting ATFL repair. This technique helps to improve the stability of the talus and ankle joints while compensating for proprioception loss. Although ATiFL-DF transfer augmented repair of the ATFL may negatively affect the stability of the distal tibiofibular joint, this procedure can enhance the stability of the talus and ankle joints.

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Section: Discussionmentioning

confidence: 99%

Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study

Wang,

Yang,

You

et al. 2024

Front. Bioeng. Biotechnol.

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Section: Introductionmentioning

confidence: 99%

“…Recently, ATFL remnant quality has been the subject of study when defining the best approach, 2 but the ideal graft and preparation technique is yet unknown. 5 Lopes et al 7 combined arthroscopic ATFL and CFL reconstruction technique implements a 10-cm gracilis autograft, harvested using a tendon stripper through a short oblique incision, in which both ends are threaded with FiberLoop No.…”

Section: Introductionmentioning

confidence: 99%

“…1,8 New trends advocate arthroscopic repair of the anterior talofibular ligament (ATFL) when the ligament remnants are competent, showing satisfactory outcomes, and anatomic reconstruction with tendon autograft when ligament remnants are insufficient or in a combined calcaneofibular ligament (CFL) injury. 1,2,8 Recently, ATFL remnant quality has been the subject of study when defining the best approach, 2 but the ideal graft and preparation technique is yet unknown. 5 Lopes et al 7 combined arthroscopic ATFL and CFL reconstruction technique implements a 10-cm gracilis autograft, harvested using a tendon stripper through a short oblique incision, in which both ends are threaded with FiberLoop No.…”

Section: Introductionmentioning

confidence: 99%

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Modified Gracilis Autograft Preparation for Arthroscopic Anterior Talofibular and Calcaneofibular Ligament Anatomic Reconstruction: Technical Tip

Olory,

Marín Fermín,

D’Hooghe

et al. 2024

Foot & Ankle Orthopaedics

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show abstract

Modified classifications and surgical decision-making process for chronic anterior talofibular ligament injuries based on the correlation of imaging studies and arthroscopic findings

Cited by 2 publications

References 33 publications

Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study

Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study

Modified Gracilis Autograft Preparation for Arthroscopic Anterior Talofibular and Calcaneofibular Ligament Anatomic Reconstruction: Technical Tip

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