Arthroscopic ankle lateral ligament repair alone versus arthroscopic ankle lateral ligament repair with reinforcement by inferior extensor retinaculum

2021 ◽  
Author(s):  
Yuji Samejima ◽  
Ryota Inokuchi ◽  
Kosui Iwashita ◽  
Hiroyasu Ikegami ◽  
Yoshiro Musha ◽  
...  
Keyword(s):  
Lateral Ligament ◽  
Extensor Retinaculum ◽  
Ligament Repair ◽  
Ankle Lateral Ligament ◽  
Inferior Extensor Retinaculum

The Stabilizing Role of the Lateral Ligament Complex around the Ankle and Subtalar Joints

Foot & Ankle ◽  
1992 ◽  
Vol 13 (3) ◽  
pp. 130-136 ◽  
Author(s):  
Michael M. Stephens ◽  
G. James Sammarco
Keyword(s):  
Lower Limbs ◽  
Lateral Ligament ◽  
Lateral Side ◽  
Anterior Talofibular Ligament ◽  
Extensor Retinaculum ◽  
Anterior Capsule ◽  
Talocalcaneal Joint ◽  
Ankle Stability ◽  
Inferior Extensor Retinaculum

The stabilizing role of various ligaments in the lateral side of the ankle and hindfoot was examined experimentally and sequentially using 10 fresh amputated lower limbs. The anterior talofibular ligament contributed to ankle stability in plantarflexion and the calcaneofibular, the fibulotalocalcaneal, and posterior talofibular ligament in all positions. The lateral root of the inferior extensor retinaculum contributed to subtalar stability in neutral and dorsiflexion. The calcaneofibular, fibulotalocalcaneal, and cervical ligaments and the ligament of the anterior capsule of the posterior talocalcaneal joint and the interosseous ligaments contributed to subtalar stability in all positions. The subtalar joint accounted for upward of 50% of ankle/hindfoot inversion after ligament division in the intermalleolar plane.

Additional Inferior Extensor Retinaculum Augmentation After All-Inside Arthroscopic Anterior Talofibular Ligament Repair for Chronic Ankle Instability Is Not Necessary

2021 ◽  
pp. 036354652110080
Author(s):  
Sung Hyun Lee ◽  
Hyung Gyu Cho ◽  
Je Heon Yang
Keyword(s):  
Clinical Outcomes ◽  
Ankle Instability ◽  
Surgical Techniques ◽  
Chronic Ankle Instability ◽  
Anterior Talofibular Ligament ◽  
Extensor Retinaculum ◽  
Level Of Evidence ◽  
Group A ◽  
The Mean ◽  
Inferior Extensor Retinaculum

Background: Although several arthroscopic surgical techniques for the treatment of chronic ankle instability (CAI) have been introduced recently, the effect of inferior extensor retinaculum (IER) augmentation remains unclear. Purpose: To compare the clinical outcomes after arthroscopic anterior talofibular ligament (ATFL) repair according to whether additional IER augmentation was performed or not. Study Design: Cohort study; Level of evidence, 3. Methods: We performed a retrospective review of consecutive patients who underwent arthroscopic ATFL repair surgery for CAI between 2016 and 2018. The mean age of the patients was 35.2 years (range, 19-51 years), and the mean follow-up period was 32.6 months (range, 24-48 months). Patients were divided into 2 groups according to the surgical technique used for CAI: arthroscopic ATFL repair (group A; n = 37) and arthroscopic ATFL repair with additional IER augmentation (group R; n = 45). The pain visual analog scale, American Orthopaedic Foot & Ankle Society score, Foot and Ankle Outcome Score, and the Karlsson Ankle Function Score were measured as subjective outcomes, and posturographic analysis was performed using a Tetrax device as an objective outcome. Radiologic outcome evaluations were performed preoperatively and at 2 years postoperatively using stress radiographs and axial view magnetic resonance imaging (MRI). Results: Out of 101 patients, 19 (18.5%) were excluded per the exclusion criteria, and 82 were evaluated. We identified 6 retears (7.3%) based on postoperative MRI evaluation. All patients who had ATFL retear on MRI (8.1% [3/37] in group A and 6.7% [3/45] in group R) demonstrated recurrent CAI with functional discomfort and anterior displacement >3 mm as compared with the intact contralateral ankle. All clinical scores and posturography results were improved after surgery in both groups ( P < .001). However, there were no significant differences in the clinical results and radiologic findings between the groups. Conclusion: The clinical and radiologic outcomes of patients with CAI improved after all-inside arthroscopic ATFL repair. However, additional IER augmentation after arthroscopic ATFL repair did not guarantee better clinical outcomes.

Endoscopic Ankle Lateral Ligament Graft Anatomic Reconstruction

2016 ◽  
Vol 21 (3) ◽  
pp. 665-680 ◽  
Author(s):  
Frederick Michels ◽  
Guillaume Cordier ◽  
Stéphane Guillo ◽  
Filip Stockmans
Keyword(s):  
Anatomic Reconstruction ◽  
Lateral Ligament ◽  
Ankle Lateral Ligament

scholarly journals Location and Morphology of Acute Lateral Ligament Injury of the Ankle

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0031
Author(s):  
Hideo Noguchi
Keyword(s):  
Ankle Instability ◽  
Surgical Reconstruction ◽  
Ligament Injury ◽  
Lateral Ligament ◽  
Ligament Injuries ◽  
Ligament Repair ◽  
Reconstruction Procedure ◽  
Side Body ◽  
Lateral Ligament Injury ◽  
Almost All

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.

Sign in / Sign up

Export Citation Format

Share Document