Repair of Chronic Lateral Ligament Injuries

Author(s):  
Lewis A. Yocum
2020 ◽  
Vol 5 (2) ◽  
pp. 247301142092280
Author(s):  
Ian M. Foran ◽  
Daniel D. Bohl ◽  
Anand Vora ◽  
Kamran S. Hamid ◽  
Simon Lee

1994 ◽  
Vol 25 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Saul G. Trevino ◽  
Pamela Davis ◽  
Paul J. Hecht

Author(s):  
A Narvani ◽  
Panos Thomas ◽  
Bruce Lynn

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0031
Author(s):  
Hideo Noguchi

Category: Ankle, Sports, Trauma Introduction/Purpose: Acute ankle ligament injuries are usually treated non-operatively, even if the injury is severe. However, when chronic ankle instability is symptomatic, operative treatment is required. When planning local repair, the condition of the remaining ligament is important. We surgically treated acute severe lateral ligament injuries in 103 ankles and investigated the locations of the injuries in the anterior talofibular (ATF) and calcaneofibular (CF) ligaments, subdividing each into three parts. This paper should facilitate more precise planning of the surgical reconstruction procedure. Methods: From 2006 to 2014, 1,042 patients visited our outpatient clinic with a diagnosis of acute lateral ligament injury of the ankle. In total, 103 feet underwent surgical treatment and the locations of the ATF and CF ligament ruptures were investigated. The rupture location in the ATF ligament was subclassified as fibular side, body, or talar side, while for the CF ligament it was classified as fibular side, body, or calcaneal side. Results: The ATF ligament was ruptured on the fibular side in 38 feet (36.9%), body in 30 feet (29.1%), and talar side in 35 feet (34.0%). The CF ligament was ruptured on the fibular side in 15 feet (14.6%), body in 26 feet (25.2%), and calcaneal side in 62 feet (60.2%). Conclusion: Almost all surgical reports on lateral ligament reconstruction procedures (Brostrom et al.) describe ATF ligament repair and advancement on the fibular side, although only one-third of the ligaments were injured on the fibular side in our series. About two-thirds of the CF ligaments had damage to the calcaneal side structure of the entheses. When CF ligament repair is needed, surgeons should be aware of our finding that this ligament was ruptured at the fibular attachment in only 15% of cases, and on the calcaneal side in 60%. This knowledge should lead to better results of surgical reconstruction.


1998 ◽  
Vol 6 (1) ◽  
pp. 21-25 ◽  
Author(s):  
Y. Krukhaug ◽  
A. Mølster ◽  
A. Rodt ◽  
T. Strand

Injury ◽  
1986 ◽  
Vol 17 (6) ◽  
pp. 380-IN2 ◽  
Author(s):  
Cyrus L. Muwanga ◽  
David N. Quinton ◽  
John P. Sloan ◽  
Pam Gillies ◽  
Andrew F. Dove

2002 ◽  
Vol 30 (3) ◽  
pp. 402-409 ◽  
Author(s):  
Beat Hintermann ◽  
Andreas Boss ◽  
Dirk Schäfer

Background There are little objective data on structural changes of the chronically unstable ankle. Such knowledge could help with preoperative planning. Hypothesis Preoperative ankle arthroscopy provides important insights into the causes and mechanisms of ankle instability and the resulting disability. Study Design Case series. Methods From 1993 to 1999, arthroscopic examination was performed in the ankles of 148 patients with symptomatic chronic ankle instability that had lasted 6 months or more. All structural changes were recorded and compared with the clinical diagnosis. Results A rupture or elongation of the anterior talofibular ligament was noted in 86% of ankles, of the calcaneofibular ligament in 64%, and of the deltoid ligament in 40%. Cartilage damage was noted in 66% of ankles with lateral ligament injuries, whereas 98% of the ankles with deltoid ligament injuries had cartilage damage. Although lateral instability could be verified arthroscopically in 127 patients, medial instability was presumed clinically in 38 patients but was actually detected in 54 patients arthroscopically. Conclusion Preoperative ankle arthroscopy revealed an essential amount of information that would otherwise have been undetected. For instance, the ligaments showed typical abnormalities corresponding to different entities of ankle instability and different intra-articular pathologic conditions.


2001 ◽  
Vol 44 (4) ◽  
pp. 1082-1088 ◽  
Author(s):  
Kensaku KAWAKAMI ◽  
Go OMORI ◽  
Shojiro TERASHIMA ◽  
Makoto SAKAMOTO ◽  
Toshiaki HARA

2004 ◽  
Vol 36 (Supplement) ◽  
pp. S154
Author(s):  
John E. Kovaleski ◽  
Marcus J. Hollis ◽  
Robert J. Heitman ◽  
Phillip M. Norrell ◽  
Albert W. Pearsall

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