Reconstruction of Lateral Ligament Tears of the Ankle

Chrisman, O. Donald; Snook, George A.

doi:10.2106/00004623-196951050-00007

Cited by 400 publications

(65 citation statements)

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“…This lesion has also been found in patients with chronic lateral ankle instability (1,2,4,9,13,14,(21)(22)(23)(24)(25)(26). Rupture or laxity of the superior peroneus retinaculum (SPR) is probably the main predisposing factor, although the exact mechanism of injury is not clear (1,7,8).…”

Section: Discussionmentioning

confidence: 77%

Surgical treatment of concomitant chronic ankle instability and longitudinal rupture of the peroneus brevis tendon

Karlsson¹,

Brandsson²,

Kälebo³

et al. 1998

Scandinavian Med Sci Sports

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Section: Discussionmentioning

confidence: 77%

Surgical treatment of concomitant chronic ankle instability and longitudinal rupture of the peroneus brevis tendon

Karlsson¹,

Brandsson²,

Kälebo³

et al. 1998

Scandinavian Med Sci Sports

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“…7,17,26,27 This procedure is a modification of the Elmslie procedure in which the anterior talofibular and calcaneofibular ligaments are reconstructed using half of the peroneus brevis tendon (Fig. 1).…”

Section: Methodsmentioning

confidence: 99%

“…When surgical treatment is indicated, reconstruction using one of the peroneal tendons, most often the brevis, is common. 6,7,11,15,17,[26][27][28][29] Brostrijm' described anatomic repair for both acute and chronic lateral ankle instabilities. These reconstructive procedures and their modifications have had variable results.3,6,13,17,27 Although much has been written about specific reconstructive procedures, few 17,27 have compared these treatments.…”

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confidence: 99%

Comparison of Lateral Ankle Ligamentous Reconstruction Procedures

1994

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The static restraints of various surgical procedures for chronic lateral ankle instability were compared. Forty cadaveric ankles were divided equally into the following five groups: 1) ankles with intact anterior talofibular and calcaneofibular ligaments, 2) ankles with incised anterior talofibular and calcaneofibular ligaments, 3) ankles with Chrisman-Snook procedure, 4) ankles with Watson-Jones procedure, or 5) ankles with modified Broström procedure. All ankles were placed in a mechanical apparatus for anterior drawer stress and inversion stress tests. After each application of force, a radiograph of the ankle joint was taken, and the anterior talar displacement and the talar tilt angle were measured. All procedures reduced anterior drawer and talar tilt when compared with the ankles with incised anterior talofibular and calcaneofibular ligaments. Significant differences were found among the groups for both inversion and anterior drawer stress at all forces, except for the third and fourth groups. The modified Broström group had the least amount of anterior talar displacement and talar tilt angle at all forces. There were no significant differences between the Watson-Jones and the Chrisman-Snook procedures in anterior talar displacement and talar tilt. The modified Broström procedure produced a greater mechanical restraint than either of the other procedures.

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“…Many iterations of peroneal tendonsacrificing procedures were described including the WatsonJones, Evans, and Chrisman-Snook procedures; however, patient outcomes were generally suboptimal with unresolved pain, stiffness, subtalar arthritis, or recurrent instability [52][53][54][55][56][57][58][59][60][61][62]. In 1966, Broström described direct ligament repair which was anatomic and preserved the peroneal tendons [63].…”

Section: Operative Management Evolution Of Surgical Treatmentmentioning

confidence: 99%

Operative treatment of lateral ligament instability

Shakked

Karnovsky

Drakos

2017

Curr Rev Musculoskelet Med

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Purpose of review Ankle sprains, which account for 40% of sports injuries in the USA, can lead to chronic ankle instability. Chronic ankle instability can be classified as functional, mechanical, or a combination of both and is diagnosed using a combination of a physical exam, an MRI, and stress radiographs. This review focuses on different approaches to treatment, including non-operative and operative techniques, of chronic ankle instability, including reviewing traditional procedures as well as more novel and newer techniques. Recent findings Based on existing literature, non-operative treatment should always precede operative treatment of chronic ankle instability. If rehabilitation fails, Brostrom-Gould type ankle stabilization has been the preferred surgical option. Recent literature suggests that arthroscopic repair might reduce recovery time and improve outcomes in certain populations; however, there are higher rates of complication following these surgeries. In more high-risk populations, some literature reports that ligament repair with peroneus brevis transfer could be a more effective treatment option. Summary Currently, varying surgical techniques exist for the treatment of chronic ankle instability. While the more recently reported techniques show promise, it is important to note that there is little evidence showing they are more successful than traditional techniques. It is imperative that future studies focus on outcomes and complication rates of these newer procedures.

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Reconstruction of Lateral Ligament Tears of the Ankle

Cited by 400 publications

References 0 publications

Surgical treatment of concomitant chronic ankle instability and longitudinal rupture of the peroneus brevis tendon

Surgical treatment of concomitant chronic ankle instability and longitudinal rupture of the peroneus brevis tendon

Comparison of Lateral Ankle Ligamentous Reconstruction Procedures

Operative treatment of lateral ligament instability

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