Anatomical Arthroscopic Graft Reconstruction of the Anterior Tibiofibular Ligament for Chronic Disruption of the Distal Syndesmosis

Autor: Jesús Vilá-Rico, M.D., Ph.D., Enrique Sánchez-Morata, M.D., Ph.D., Elena Vacas-Sánchez, M.D., Cristina Ojeda-Thies, M.D., Ph.D.
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Arthroscopy Techniques, Vol 7, Iss 2, Pp e165-e169 (2018)
Druh dokumentu: article
ISSN: 2212-6287
DOI: 10.1016/j.eats.2017.08.064
Popis: Injuries of the distal tibiofibular syndesmosis are commonly overlooked or mismanaged, and chronic instability is a debilitating condition leading to premature joint degeneration. Several methods of treatment have been described, mainly screw fixation, arthrodesis, or ligament reconstruction. Most clinical evidence is limited to case series, mainly screw fixation, and there is a general paucity of evidence regarding ligament reconstruction, which is considered to be more anatomic and to restore joint biomechanics. Most papers describe open techniques. We describe an original technique for all-inside anatomic arthroscopic graft reconstruction of the anterior-inferior tibiofibular ligament, which is simpler than other previously described reconstruction procedures. In addition to being performed through standard ankle arthroscopy portals, we believe this technique avoids potential complications.
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