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

Jun Young Lee; Sang Soo Park

doi:10.4055/jkoa.2014.49.1.22

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

Symposium

Ankle Sprain: Current Trends

Journal of the Korean Orthopaedic Association 2014; 49(1): 22-28.

Published online: 27 February 2014

DOI: https://doi.org/10.4055/jkoa.2014.49.1.22

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

Jun Young Lee, M.D., Sang Soo Park, M.D.

Department of Orthopaedic Surgery, School of Medicine, Chosun University, Gwangju, Korea.

Correspondence to: Jun Young Lee, M.D. Department of Orthopaedic Surgery, Chosun University Hospital, 365 Pilmun-daero, Dong-gu, Gwangju 501-717, Korea. TEL: +82-62-220-3147, FAX: +82-62-226-3379, leejy88@chosun.ac.kr

Received 29 October 2013 Revised 18 December 2013 Accepted 20 January 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: ankle, chronic lateral instability, reconstruction, tenodesis or tendon graft

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.

Figure 2

Anatomic reconstruction of the lateral ligament with the semitendinosus allograft tendon.26)

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