Reconstruction of the lateral ankle ligaments

Colville, Mark R.; Marder, Richard A.; Zarins, Bertram

doi:10.1177/036354659202000518

Cited by 146 publications

(81 citation statements)

References 24 publications

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“…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%

“…In anatomical techniques such as those of Anderson, Burks and Morgan, and Colville, both the CFL and ATFL are repaired together [2,6,9,10,11,12]. Anderson reported good results in all nine patients whom he treated with a plantaris tendon graft [2].…”

Section: Discussionmentioning

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%

“…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]. But with the reconstruction technique described by Colville, in which the split tendon of the peroneus brevis muscle is advanced through the anatomical attachment sites of the calcaneofibular ligament (CFL) and the anterior talofibular ligament (ATFL), stability can be maintained without causing any loss of subtalar joint movements [9,10,11,12,18].…”

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: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…20,21 Other possible disadvantages include: failure to control anterior talar translation and rotatory instability. 22,23 Moreover, large incisions are required for tenodesis procedures, in comparison to direct anatomical repair. Despite good short-term results, 19,24 some long-term studies indicate that normal mechanical stability is not restored, thereby predisposing to later degenerative changes.…”

Section: No Of Ankles (%) Preoperation Postoperationmentioning

confidence: 99%

Modified Brostrom-Evans-Gould Technique for Recurrent Lateral Ankle Ligament Instability

2007

J Orthop Surg (Hong Kong)

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men aged 19 to 35 (mean, 23) years with chronic lateral instability affecting 21 ankles, underwent the modified Brostrom-Evans-Gould technique by a single surgeon. The mean follow-up period was 12 (range, 6-20) months. Patients were assessed preoperatively and postoperatively using the Kaikkonen Ankle Scoring Scale. Results. Preoperatively, all patients had poor scores (<50). Postoperatively, 17 (81%) of the ankles attained excellent scores (85-100) and 4 (19%) attained good scores (70-84). Conclusion. The modified Brostrom-Evans-Gould technique appears effective for chronic lateral ankle ligament instability, particularly in the Asian

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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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Reconstruction of the lateral ankle ligaments

Abstract: We found considerable mechanical differences among the more commonly performed lateral ankle reconstructions. It is possible to locate bone tunnels and graft placement so that a more anatomic configuration is achieved.

Cited by 146 publications

References 24 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

Modified Brostrom-Evans-Gould Technique for Recurrent Lateral Ankle Ligament Instability

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

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