Journal List > J Korean Orthop Assoc > v.49(1) > 1013298

Lee and Park: Surgical Treatment of Chronic Ankle Lateral Instability: Reconstruction with Tenodesis or Tendon Graft

Abstract

Numerous reconstructive procedures have been described for treatment of chronic lateral ankle instability; however, controversy remains regarding the ideal surgical option. Numerous studies of the Bröstrom procedure or its modifications have followed, reporting good to excellent results. However they have some limitations regarding the instabilities for over-weight, physically high demanding patients, failed anatomical repair, and particularly for significantly deficient or attenuated ligaments. This may indicate the need for non-anatomical reconstruction using peroneus brevis tendon or anatomical reconstruction using the allo/autograft tendon.

Figures and Tables

Figure 1
Various techniques of tenodesis for lateral ankle ligament reconstruction. (A) Watson-Jones procedure. (B) Evans procedure. (C) Chrisman-Snook procedure.
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Figure 2
Anatomic reconstruction of the lateral ligament with the semitendinosus allograft tendon.26)
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