Arthroscopic anterior talofibular ligament reconstructin in chronic ankle instability: Two years results
Autor: | Fabio Cerza, Francesco Allegra, Stefano El Boustany, Nicola Maffulli, Filippo Spiezia |
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Rok vydání: | 2019 |
Předmět: |
Joint Instability
medicine.medical_specialty Lateral ankle Heel Joint stability anterior talofibular ligament ankle arthroscopy Ankle instability 03 medical and health sciences Arthroscopy 0302 clinical medicine Ligament repair medicine Humans In patient Ankle Injuries General Environmental Science 030222 orthopedics business.industry Anterior talofibular ligament 030208 emergency & critical care medicine Surgery Surgical morbidity medicine.anatomical_structure Chronic ankle instability General Earth and Planetary Sciences Ankle business Lateral Ligament Ankle Ankle Joint |
Zdroj: | Injury. 51 |
ISSN: | 1879-0267 |
Popis: | Purpose In chronic lateral ankle instability, primary ligament repair is not always possible because of poor quality of the local tissues. A free autologous or allograft tendon graft or synthetic grafts are suitable alternative. We describe middle term results of arthroscopic reconstruction of the anterior talofibular ligament (ATFL) using a free autologous ipsilateral gracilis graft in patients with chronic ankle instability. Methods Eleven patients with chronic lateral ankle instability with imaging evidence of isolated ATFL tear underwent arthroscopic reconstruction of the ATFL using a free ipsilateral gracilis graft. Functional and subjective assessment were performed after an average of 24 months following the index procedure. Results At 24 months, all patients showed objective improvements. One patient reported transient dysaesthesiae on the dorsolateral aspect of the foot and heel. Conclusions Arthroscopic isolated reconstruction of the ATFL with a free ipsilateral gracilis grafts is safe, allowing restoration of joint stability and low surgical morbidity. Study design Case series |
Databáze: | OpenAIRE |
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