All-inside Arthroscopic Lateral Collateral Ligament Repair for Ankle Instability With a Knotless Suture Anchor Technique

Although sprains of the hallux metatarsophalangeal (MTP) joint ligaments occur in barefooted martial arts athletes, few studies discuss the surgical treatments for lateral collateral ligament damage. We report herein a case of lateral collateral ligament repair for chronic hallux MTP joint instability. A 21-year-old male collegiate sumo wrestler injured his left hallux by snagging it on a sumo straw bale at 14 years of age. After entering university (4 years after the injury), he could no longer put weight on his foot at the left hallux; his athletic performance deteriorated, and he was referred to our department by his doctor. He had instability in the MTP joint of the left hallux, and magnetic resonance imaging revealed a tear in the attachment of the lateral collateral ligament to the metatarsal bone. Conservative treatment, such as taping, did not improve the symptoms; thus, surgery was performed, which consisted of passing a strong suture attached to the capsular ligament through a burr hole made in the metatarsal bone and fixing it to the burr-hole wall using an anchor. Postoperatively, the patient's joint instability improved, and he returned to competitive wrestling 4 months after surgery. He was able to put weight on his left hallux, and his athletic performance improved. The follow-up period after surgery was 2 years. In competitive sumo wrestling, hallux weakness and joint instability lead to a significant reduction in performance. Thus, ligament repair is an effective treatment for hallux MTP joint instability that cannot be treated by conservative means.

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Lateral Collateral Ligament Repair Restores the Initial Varus Stability of the Elbow: An In Vitro Biomechanical Study

Journal of Orthopaedic Trauma ◽

10.1097/bot.0b013e3181886f37 ◽

2008 ◽

Vol 22 (9) ◽

pp. 615-623 ◽

Cited By ~ 37

Author(s):

Gillian S Fraser ◽

Jamie E Pichora ◽

Louis M Ferreira ◽

Jamie R Brownhill ◽

James A Johnson ◽

...

Keyword(s):

Lateral Collateral Ligament ◽

Biomechanical Study ◽

Ligament Repair ◽

Collateral Ligament

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Functional Outcome of Modified Brostrom-Gould Procedure Using the PopLok Knotless Suture Anchor Technique in Lateral Ankle Instability

Cureus ◽

10.7759/cureus.4971 ◽

2019 ◽

Cited By ~ 1

Author(s):

Mohd Yazid Bajuri ◽

Edewet Daun ◽

Muhammad H Abdul Raof ◽

Mohd Rohaizat Hassan ◽

Srijit Das

Keyword(s):

Functional Outcome ◽

Suture Anchor ◽

Ankle Instability ◽

Lateral Ankle ◽

Lateral Ankle Instability ◽

Knotless Suture Anchor

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Surgical Technique for Arthroscopic Lateral Collateral Ligament Repair

JBJS Essential Surgical Techniques ◽

10.2106/jbjs.st.16.00030 ◽

2016 ◽

Vol 6 (3) ◽

pp. e33 ◽

Cited By ~ 2

Author(s):

Jeong Woo Kim ◽

Sung Hyun Lee ◽

Se Jin Kim ◽

Jin Sung Park

Keyword(s):

Surgical Technique ◽

Lateral Collateral Ligament ◽

Ligament Repair ◽

Collateral Ligament

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Acute Skier's Thumb Repaired With a Proximal Phalanx Suture Anchor

The American Journal of Sports Medicine ◽

10.1177/03635465980260050801 ◽

1998 ◽

Vol 26 (5) ◽

pp. 644-650 ◽

Cited By ~ 29

Author(s):

Craig Zeman ◽

Robert E. Hunter ◽

John R. Freeman ◽

Mark L. Purnell ◽

Jackie Mastrangelo

Keyword(s):

Functional Outcome ◽

Suture Anchor ◽

Surgical Repair ◽

Proximal Phalanx ◽

Ulnar Collateral Ligament ◽

Ligament Repair ◽

Collateral Ligament ◽

Ligament Rupture ◽

A New Technique ◽

Postoperative Interval

The purpose of this study was to determine the functional outcome of a surgical technique for the repair of injuries of the ulnar collateral ligament of the thumb. A 14-point questionnaire was developed to determine functional outcome after surgical repair of acute ulnar collateral ligament rupture. Early ulnar collateral ligament repair was performed on 58 patients with grade III sprains (complete rupture) of the ligament using a new technique that employs a suture anchor for fixation. Forty-five patients were interviewed at a minimum postoperative interval of 12 months and were included in this study. Forty-four patients (98%) believed they had a stable repair, were satisfied with their surgery, and would have it again if necessary. Forty-four patients (98%) were not hindered in their day-to-day activities and had a functional range of motion. Mild discomfort was felt by eight of our patients (17%), but only three patients (7%) had pain with activities. The average time to return to skiing was 1.7 days. The use of a suture anchor provided a strong and stable repair if the surgery was performed early.

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Novel Suture Anchor Technique with Continuous Locking Stitch for Collateral Ligament Repair

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835516710028 ◽

2016 ◽

Vol 21 (02) ◽

pp. 276-279

Author(s):

Susumu Tokunaga ◽

Yoshihiro Abe

Keyword(s):

Suture Anchor ◽

Finger Joint ◽

Suture Techniques ◽

Collateral Ligaments ◽

Ligament Repair ◽

Collateral Ligament ◽

Rotatory Instability ◽

Pull Out ◽

Valgus Instability

Collateral ligaments are difficult to repair due to large amount of fraying in detached ligaments and attenuated stumps that may not provide enough strength after the repair. Although strong locking sutures are used to repair the ligament with proper tension, these damages can cause pull-out failure or relaxation of the repaired ligaments even from undersized load that may extend postoperative splinting or casting time. Furthermore, current suture techniques can repair varus or valgus instability of the elbow and radial or ulnar instability of the fingers, but these techniques do not offer rotatory stability of these areas. We have developed a novel suture anchor technique that has overcome this problem of current suture techniques, and this can be used to correct rotatory instability in the elbow and fingers. We used this procedure in seven cases with injury of collateral ligament in the elbow and eight cases with detached collateral ligaments of finger joint. No patient experienced rerupture or any kind of residual instability. We believe that the proposed method can produce much stronger repair and may shorten the postoperative immobilization period.

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