Percutaneous Lateral Ankle Ligament Reconstruction Using a Split Peroneus Longus Tendon Free Graft

Kim, Hyong Nyun; Dong, Quanyu; Hong, Do Yeong; Yoon, Yong Hyun; Park, Yong Wook

doi:10.1177/1071100714540892

Cited by 21 publications

(27 citation statements)

References 13 publications

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“…In addition, the muscles classified in Type 3 innervation pattern with two or more compartments can be split into several units with independent functions, which can be potentially used as a muscle flap. The gastrocnemius muscle flap was used to cover defects over the upper two-thirds of the tibia [5], calf reduction [33] and functional reconstruction of the tongue and upper limb musculature [7]; the soleus muscle flap was employed for defect coverage oropharyngeal or at the upper extremity [11] and covering complex defects of the middle and lower Surg Radiol Anat leg [1]; the tibialis anterior muscle flap was for longitudinal middle third tibial defects [30] and coverage of distal leg wounds [9]; the tibialis posterior muscle flap was for salvage of lower extremity [19]; the fibularis longus muscle flap was for anterior cruciate ligament reconstruction [25] and percutaneous lateral ankle ligament reconstruction [17].…”

Section: Discussionmentioning

confidence: 99%

Intramuscular innervations of lower leg skeletal muscles: applications in their clinical use in functional muscular transfer

Yin

Han

et al. 2015

Surg Radiol Anat

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Section: Discussionmentioning

confidence: 99%

Intramuscular innervations of lower leg skeletal muscles: applications in their clinical use in functional muscular transfer

Yin

Han

et al. 2015

Surg Radiol Anat

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“…However, these strategies may not always follow accurate ligament anatomic attachments, especially in the construction of the fibular bone tunnels. Panchbhavi [ 19 ], Kim et al [ 20 ] and Youn et al [ 21 ] made a straight fibular tunnel in an anterior to posterior or otherwise direction, while Xu and Wang et al [ 3 , 22 ] made a ‘Γ’ shaped fibular tunnel.…”

Section: Discussionmentioning

confidence: 99%

A new minimally invasive method for anatomic reconstruction of the lateral ankle ligaments with a Tightrope system

Cao

Yuan

et al. 2018

Arch Orthop Trauma Surg

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BackgroundSeveral minimally invasive anatomic reconstruction techniques of the lateral ligaments have been introduced for the treatment of chronic lateral ankle instability. However, these strategies may not always follow accurate ligament anatomic attachments, especially in the construction of the fibular bone tunnels.ObjectivesThis study reported a new percutaneous technique for reconstruction of the ligaments of lateral ankle anatomically with a Tightrope system.MethodsFrom April 2016 to August 2016, 25 ankles of 24 patients with chronic ankle instability underwent our new percutaneous anatomic reconstruction of the lateral ligaments with a Tightrope system. The operation was performed through several small incisions. The fibular tunnel was made obliquely from the anteromedial side of lateral malleolus tip towards retro-malleolar cortex. The graft was fixed in the tunnel with the help of a Tightrope system. The calcaneal tunnel and talar tunnel were made as our previous method. The mean final follow-up was 12.2 months (range 10–14). Visual Analogue Scale for pain, American Orthopaedic Foot and Ankle Society score, and patients’ subjective satisfaction were used to measure clinical outcomes. Preoperative and postoperative stress tests were performed and radiographic parameters were measured.ResultsThe Visual Analogue Scale decreased from 3.0 ± 1.4 to 1.3 ± 0.8 at the last follow-up (p < 0.01). The American Orthopaedic Foot and Ankle Society score was improved from 70.2 ± 5.4 preoperatively to 92.4 ± 5.3 at the final follow-up (p < 0.01). Radiologically, the mean anterior talar displacement was 13.1 ± 2.7 mm preoperatively versus 5.6 ± 1.3 mm at last follow-up (p < 0.01),and the mean varus talar tilt angle was 15.0° ± 2.4° preoperatively versus 5.6° ± 1.9° at the last follow-up (p < 0.01). Patients were satisfied (‘excellent’ or ‘good’) in 23 ankles (92%). Two patients reported residual instability but less apprehension than the preoperative condition.ConclusionsPercutaneous anatomic reconstruction of the lateral ligaments of the ankle with a Tightrope system is an anatomic and effective procedure for the treatment of chronic lateral ankle instability.

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“…Recently, there have been advances in the field of arthroscopic * and minimally invasive 9,17,23,30,33 ankle stabilization techniques that may allow faster recovery compared to open techniques. 21 The arthroscopic procedure allows one to assess and treat intra-articular pathology of the ankle concurrently with stabilization 11,19,25 but may be more technically demanding.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Ankle Reconstruction of Lateral Ligaments (Perc-Anti RoLL)

et al. 2016

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Percutaneous Lateral Ankle Ligament Reconstruction Using a Split Peroneus Longus Tendon Free Graft

Cited by 21 publications

References 13 publications

Intramuscular innervations of lower leg skeletal muscles: applications in their clinical use in functional muscular transfer

Intramuscular innervations of lower leg skeletal muscles: applications in their clinical use in functional muscular transfer

A new minimally invasive method for anatomic reconstruction of the lateral ankle ligaments with a Tightrope system

Percutaneous Ankle Reconstruction of Lateral Ligaments (Perc-Anti RoLL)

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