Reconstruction of Compound Loss of Lateral Malleolus and Lateral Ankle Ligaments with Double-Bundle Achilles Tendon–Bone Allograft

Ko, Duk-Hwan; Jung, Hong-Geun; Kim, Hyeung-June; Cha, Seung-Han; Nam, Kwang Woo

doi:10.1053/j.jfas.2013.12.006

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…Studies were grouped according to surgical indications into ten categories: musculoskeletal tumours ( n = 16) [10–25], chronic ankle instability ( n = 15) [26–40], ankle arthritis ( n = 14) [41–54], osteochondral lesions of the talus ( n = 12) [55–66], Achilles tendon defects ( n = 11) [67–77], other tendon defects ( n = 9) [78–86], fusions ( n = 9) [87–95], fractures ( n = 8) [96–103], hallux rigidus ( n = 3) [104–106] and other indications ( n = 10) [107–116].…”

Section: Resultsmentioning

confidence: 99%

Clinical applications of allografts in foot and ankle surgery

Diniz

Pacheco

Flora

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose The purpose of this review is to systematically analyse current literature on the use of allografts in the surgical treatment of foot and ankle disorders in adult patients. Based on this study, we propose evidence‐based recommendations. Methods The database for PubMed was searched for all published articles. No timeframe restrictions were applied. Clinical studies eligible for inclusion met the following criteria: performed on patients over 18 years old; subject to surgical treatment of foot and ankle disorders; with report on the outcome of the use of allografts; with a report and assessment of pain and function, or equivalent; minimum follow‐up of 1 year was required. Two reviewers independently screened and selected studies for full‐text analysis from title and abstract. 107 studies were included from 1113 records. Studies were grouped according to surgical indications into ten categories: musculoskeletal tumours (n = 16), chronic ankle instability (n = 15), ankle arthritis (n = 14), osteochondral lesions of the talus (n = 12), Achilles tendon defects (n = 11), other tendon defects (n = 9), fusions (n = 9), fractures (n = 8), hallux rigidus (n = 3) and other indications (n = 10). Results Most studies displayed evidence level of IV (n = 57) and V (n = 39). There was one level I, one level II and nine level III studies. Most studies reported allografting as a good option (n = 99; 92.5%). Overall complication rate was 17% (n = 202). Conclusions Fair evidence (Grade B) was found in favour of the use of allografts in lateral ankle ligament reconstruction or treatment of intra‐articular calcaneal fracture. Fair evidence (Grade B) was found against the use of allogeneic MSCs in tibiotalar fusions. Level of evidence V.

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Section: Resultsmentioning

confidence: 99%

Clinical applications of allografts in foot and ankle surgery

Diniz

Pacheco

Flora

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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“…Additionally, it was impossible to repair large defects, and normal foot function was affected. Ko et al [6] used the double-bundle artificial Achilles tendon allograft to reconstruct distal fibular and lateral malleolus defects, but radiography showed that the talofibular joint space was narrow. Moreover, the shape of the reconstructed distal fibular and lateral malleolus was not normal, and the long-term effect was not clear.…”

Section: Introduction and Importancementioning

confidence: 99%

Repair of distal fibular and lateral malleolus defects with individualized 3D-printed titanium alloy prosthesis: The first case report from China

Cheng¹,

Gao²,

Long

et al. 2022

International Journal of Surgery Case Reports

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“…Severe open foot or ankle injuries (open fractures) are associated with soft tissue defects that in some cases entail bone and tendon exposure. The soft tissue defects are commonly repaired by reconstructive skin flap surgery [1–3]. However, a considerable risk factor in reconstructive surgery is free or pedicle flap infection [4–6], which can reduce the quality of the flap or even lead to necrosis in part of the flap or in the entire graft [7, 8].…”

Section: Introductionmentioning

confidence: 99%

Preoperative irrigation and vacuum sealing drainage with antibiotic-containing drainage fluid of foot and ankle wounds improves outcome of reconstructive skin flap surgery

2019

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ObjectivesBy observing the infection and soft tissue defect on the wound surface of the foot and ankle, this paper attempts to explore the effect of preoperative irrigation and vacuum sealing drainage with antibiotic-containing drainage fluid (abPI-VSD) on the bacterial quantity and the local inflammatory response at the flap, and further to provide a basis for applying this technique before a reconstructive skin flap surgery of foot and ankle wounds.MethodsSeventy-five patients were randomly divided into two groups, and all surgeries were done by one physician. The flap reconstructions were done to 31 cases with the abPI-VSD being used (group A); the flap reconstructions were done to the rest 44 cases after wound cleaning using antibiotic irrigation solution without the use of the abPI-VSD (group B). Quantitative bacteriology was made to group A before and after the use of abPI-VSD; quantitative bacteriology was made to group B before and after wound cleaning. Then, the reconstructive skin flap surgery was done. After the surgeries, the time of local inflammatory response at the flap in both groups were recorded. The measured bacterial quantity was evaluated in logarithm and by t test.ResultsThe bacterial quantity was 3.2 ± 1.9 × 107 cfu/g in group A before the use of abPI-VSD and 2.3 ± 2.0 × 107 in group B (P > 0.05) before debridement. The bacterial quantity was 1.2 ± 2.0 × 104 cfu/g in group A after abPI-VSD and was 2.9 ± 4.0 × 106 in group B after wound cleaning (P < 0.05). The time of postoperative inflammatory response in the flap was 8 ± 2.5 days in group A and 13 ± 3.4 days in group B (P < 0.05).ConclusionsabPI-VSD can distinctly reduce the bacterial quantity on the surface of the wound, provide a good condition of tissue bed for the flap reconstruction, and effectively control the local inflammatory response at the flap and hence improve the survival quality of the flap.

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Reconstruction of Compound Loss of Lateral Malleolus and Lateral Ankle Ligaments with Double-Bundle Achilles Tendon–Bone Allograft

Cited by 4 publications

References 19 publications

Clinical applications of allografts in foot and ankle surgery

Clinical applications of allografts in foot and ankle surgery

Repair of distal fibular and lateral malleolus defects with individualized 3D-printed titanium alloy prosthesis: The first case report from China

Preoperative irrigation and vacuum sealing drainage with antibiotic-containing drainage fluid of foot and ankle wounds improves outcome of reconstructive skin flap surgery

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