Replacement of the Lateral Malleolus of the Ankle Joint with a Reversed Proximal Fibular Bone Graft

1997 ◽  
Vol 18 (6) ◽  
pp. 317-323 ◽  
Author(s):  
Charles L. Herring ◽  
Reginald L. Hall ◽  
J. Leonard Goldner
Keyword(s):  
Soft Tissue ◽  
Ankle Joint ◽  
Soft Tissue Defect ◽  
Distal Fibula ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Proximal Fibula ◽  
Peroneus Brevis ◽  
Lateral Ankle Ligaments

Infrequently, prior reports have described the use of the ipsilateral proximal fibula to replace an absent distal fibula caused by either trauma, infection, or resection for tumor. 3 , 4 This is a 27-year follow-up of a 12-year-old patient who lost the distal 7.5 cm of her fibula secondary to trauma. The soft tissue defect was replaced early by an abdominal flap and the bone defect was eventually replaced with 7.5 cm of proximal fibula. The lateral ankle ligaments were reconstructed with the peroneus brevis, and the ankle joint has remained stable. Although traumatic arthrosis has progressed slowly, the patient at age 39 has a relatively painless, mobile ankle joint.

EVALUATION OF THE LATERAL ANKLE LIGAMENTS DURING ROTATIONAL FORCES ACROSS THE ANKLE JOINT

1993 ◽  
Vol 86 (Supplement) ◽  
pp. 81
Author(s):  
William H. DeVries ◽  
Neven A. Popovic ◽  
Michael E. Mulligan ◽  
John S. Xenos ◽  
William J. Hopkinson
Keyword(s):  
Ankle Joint ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Lateral Ankle Ligaments

scholarly journals Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report

2019 ◽  
Vol 4 (1) ◽  
pp. 247301141879467
Author(s):  
Ryuta Sakurai ◽  
Jun-ichi Fukushi ◽  
Hideki Mizu-uchi ◽  
Masuo Hanada ◽  
Kenta Momii ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Fracture Dislocation ◽  
Anterolateral Thigh Flap ◽  
Skin Defect ◽  
Soft Tissue Defects ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Peroneal Tendons ◽  
Lateral Ankle Ligaments ◽  
Tissue Defects

Extensive soft tissue defects of the ankle are an uncommon but challenging problem that require a combination of reconstructive options. We report the case of a complex injury involving the skin, lateral ankle ligaments, and peroneal tendons that were anatomically reconstructed. A 15-year-old girl was injured in an automobile accident resulting in extensive soft tissue defects and marked instability of her right ankle. The lower two-thirds of the anterior talofibular ligament (ATFL) had segmental defects, and calcaneofibular ligament (CFL) was completely torn, and both peroneal longus and brevis tendons were severely damaged. Initial debridement was performed on the day on injury. Two weeks after injury, the ATFL and CFL were reconstructed using a semitendinosus autograft and suture tape augmentation. Both peroneal tendons were reconstructed using a gracilis autograft. The skin defect (10 × 10 cm) was covered with an anterolateral thigh flap. After removing a short leg cast at 3 weeks postoperatively, the patient started range of motion exercises without using any brace. Weightbearing was allowed at 4 weeks. At the 24-month follow-up examination, she had returned to her preoperative level of work and sports activities.

scholarly journals Comparison of the effects of reconstruction of the lateral ankle ligaments using peroneus longus and peroneus brevis tendon graft

Medicine ◽  
2020 ◽  
Vol 99 (46) ◽  
pp. e22912
Author(s):  
Zongyu Yang ◽  
Fei Liu ◽  
Liang Cui ◽  
Heda Liu ◽  
Junshui Zuo ◽  
...  
Keyword(s):  
Tendon Graft ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Peroneus Longus ◽  
Peroneus Brevis ◽  
Lateral Ankle Ligaments

ANATOMIC RECONSTRUCTION AND EVANS TENODESIS OF THE LATERAL ANKLE LIGAMENTS. LONG-TERM FOLLOW-UP

2003 ◽  
Vol 35 (Supplement 1) ◽  
pp. S19
Author(s):  
J Karlsson ◽  
R Krips ◽  
S Brandsson ◽  
C Swensson ◽  
C Niek van Dijk
Keyword(s):  
Anatomic Reconstruction ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Long Term Follow Up ◽  
Lateral Ankle Ligaments

scholarly journals Arthroscopic Lateral Ligament Repair

2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0045
Author(s):  
Jin Woo Lee
Keyword(s):  
Soft Tissue ◽  
Osteochondral Lesion ◽  
Surrounding Tissue ◽  
Lateral Ligament ◽  
Peroneal Tendon ◽  
Ligament Repair ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Diagnostic Arthroscopy ◽  
Lateral Ankle Ligaments

Ankle sprain is one of the most common sports-related injuries and involves the three ligaments of the lateral ligament complex of the ankle. Approximately 80% of patients tear the anterior talo-fibular ligament (ATFL), while the other 20% of patients tear the ATFL and calcaneo-fibular ligament (CFL). Rarely, the posterior talo-fibular ligament (PTFL) is involved. Non-surgical management of ankle sprains leads to excellent results in most cases for the initial phase. An incidence of 10 – 30% of patients would fail conservative treatment and result in chronic lateral ankle instability (CLAI) that may require surgical intervention. And the CLAI is commonly associated with other lesions, such as osteochondral lesion, soft tissue impingement syndrome, loose body, and peroneal tendon disorder so that diagnostic arthroscopy is mandatory with stabilizing lateral ankle. Although more than 50 surgical procedures have been described for stabilizing the lateral ankle ligaments complex. The original technique of Broström, modified by Gould, has become the gold standard procedure with infrequent exception in the literatures. However, the open technique requires at least a 4-cm-long incision with significant dissection and soft tissue debridement. Recently, there has been a recent advent of published descriptions on arthroscopic procedures for CLAI with advanced anatomic and bio-mechanic researches of lateral ankle ligaments complex. As in other minimal invasive surgical techniques in the foot and ankle, arthroscopic lateral ligament repair has advantages of less pain, addressing intra-articular pathologies, less injury to surrounding tissue, faster recovery, shorter hospital stay, and better cosmetic result. However, there are concerns about this new emerging technique with a technically demanding and lack of long-term clinical results. The purpose of this presentation is to review what has been established for the CLAI and discuss the arthroscopic lateral ligament repair technique.

The MR Imaging Appearance of Longitudinal Split Tears of the Peroneus Brevis Tendon

2000 ◽  
Vol 21 (6) ◽  
pp. 514-519 ◽  
Author(s):  
Nancy M. Major ◽  
Clyde A. Helms ◽  
Russell C. Fritz ◽  
Kevin P. Speer
Keyword(s):  
Mr Imaging ◽  
Control Group ◽  
High Signal ◽  
P Value ◽  
Ankle Pain ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Longitudinal Split ◽  
Peroneus Brevis ◽  
Lateral Ankle Ligaments

Purpose Longitudinal split tears of the peroneus brevis tendon have been increasingly reported as a source of lateral ankle pain and disability. MR imaging is useful in identifying the appearance of longitudinal split tears of the peroneus brevis tendon to differentiate this entity from other causes of chronic lateral ankle pain. We observed variations in anatomy associated with these tears. MATERIALS AND METHODS Twenty-two patients (eleven males, eleven females) were identified as having longitudinal split tears of the peroneus brevis tendon. These cases were reviewed retrospectively to evaluate for the following: shape of the peroneus brevis tendon, high signal in the peroneus brevis tendon, tendon subluxation, appearance of the superior peroneal retinaculum, presence of osseous changes in the ankle, lateral ankle ligaments, presence of a bony fibular spur, flattening of the peroneal groove of the fibula and presence of a peroneus quartus. A control group consisted of twenty ankles imaged for reasons other than lateral ankle pain. The same structures were assessed in this group. A Fisher's exact P-value was used to determine the significance of each finding in the two groups. RESULTS Statistically significant associated findings were chevron shaped tendon (p = .0001), high signal in the peroneus brevis (p = .0017), bony changes (p = .0001), flat peroneal groove (p = .0001), abnormal lateral ligaments (p = .0004), and lateral fibular spur (p = .0006). Conclusions MR imaging is useful in differentiating longitudinal split tears of the peroneus brevis tendon from other lateral ankle disorders. It can show the extent of the abnormality in the tendon and the associated findings of soft tissue and/or bone variations which must be addressed at the time of surgery.

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