Journal ArticleDOI
Reconstruction of the lateral ankle ligaments with allograft in patients with chronic ankle instability.
TLDR
The augmented reconstruction technique of ATFL and CFL with a semitendinosus tendon allograft through a peroneal bone tunnel fixed with biodegradable anchors is described and advocated as a safe, effective method to manage lateral ankle instability.Abstract:
The management of chronic lateral instability of the ankle remains controversial. In general, the anterior talofibular ligament (ATFL) must be reconstructed in all patients. Some will also need reconstruction of the calcaneofibular ligament (CFL) (or its function) to regain stability of both the ankle and the subtalar joints, and to avoid recurrence of instability. After reconstruction, most authors report good to excellent results in 80% to 85% of patients. We describe the augmented reconstruction technique of ATFL and CFL with a semitendinosus tendon allograft through a peroneal bone tunnel fixed with biodegradable anchors, and advocate this procedure as a safe, effective method to manage lateral ankle instability.read more
Citations
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Journal ArticleDOI
Arthroscopic-Assisted Broström-Gould for Chronic Ankle Instability: A Long-term Follow-up
TL;DR: The arthroscopic Broström-Gould–assisted technique could be a viable alternative to the gold-standard Broströn-G Gould procedure for anatomic repair of chronic lateral ankle instability and management of intra-articular lesions.
Journal ArticleDOI
Management of Acute and Chronic Ankle Instability
TL;DR: Of the many surgical options available, anatomic repair of the anterior talofibular and calcane ofibular ligaments is recommended when the quality of the ruptured ligaments permits, and Anatomic reconstruction with autograft or allograft should be performed when the ruptures are attenuated.
Journal ArticleDOI
Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability: 9-year follow-up.
Nicola Maffulli,Angelo Del Buono,Gayle D. Maffulli,Francesco Oliva,Vittorino Testa,Giovanni Capasso,Vincenzo Denaro +6 more
TL;DR: Combined Broström repair and ankle arthroscopy are safe and allow most patients to return to preinjury daily and sport activities, and patients did not feel safe with their ankle because of the occurrence of new episodes of ankle instability.
Journal ArticleDOI
Anatomic reconstruction of the anterior talofibular and calcaneofibular ligaments using a semitendinosus tendon allograft and interference screws
TL;DR: The described technique, which involves anatomic reconstruction of the ATFL and CFL using the semitendinosus tendon and interference screws with direct repair of the capsule, is a viable option for treating lateral ankle instability with stable tendon fixation and provides satisfactory clinical outcomes.
Journal ArticleDOI
Chronic ankle instability. Which tests to assess the lesions? Which therapeutic options?
TL;DR: An in-depth approach to diagnose the causes and lesions associated with and consecutive to chronic ankle instability due to ankle collateral ligament laxity is suggested and the different therapeutic and medicosurgical options adapted to this diagnostic approach are identified.
References
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Journal ArticleDOI
Treatment for acute tears of the lateral ligaments of the ankle. Operation, cast, or early controlled mobilization.
P. Kannus,Per A. Renström +1 more
Journal ArticleDOI
Early and Late Repair of Lateral Ligament of the Ankle
TL;DR: Only 50 patients with proper 3-month postoperative stress testing and questionnaire follow-up, who were operated upon 1 or more years ago, are recorded here.
Journal ArticleDOI
Bone transplantation and human immunodeficiency virus. An estimate of risk of acquired immunodeficiency syndrome (AIDS).
TL;DR: The possibility of transplanting a bone allograft from a donor infected with human immunodeficiency virus (HIV) is remote, provided there is a combination of rigorous donor selection and exclusion, screening for the HIV antigen and antibody, and histopathologic studies of donor tissues.
Journal ArticleDOI
Reconstruction of lateral ligament tears of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie procedure.
O. Chrisman,George A. Snook +1 more
TL;DR: The Elmslie operation has been used successfully on seven patients followed for over two years and is simple and effective, although it does cause limitation of foot inversion amounting to 15 to 30 degrees.