Suture Tape Augmentation in Lateral Ankle Ligament Surgery: Current Concepts Review

Autor: Rae Lan BS, Eric T. Piatt BS, Ioanna K. Bolia MD, PhD, Aryan Haratian BA, Laith Hasan BBA, Alexander B. Peterson MD, Mark Howard MD, Shane Korber MD, Alexander E. Weber MD, Frank A. Petrigliano MD, Eric W. Tan MD
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Foot & Ankle Orthopaedics, Vol 6 (2021)
Druh dokumentu: article
ISSN: 2473-0114
24730114
DOI: 10.1177/24730114211045978
Popis: Chronic lateral ankle instability (CLAI) is a condition that is characterized by persistent disability and recurrent ankle sprains while encompassing both functional and mechanical (laxity) instability. Failure of conservative treatment for CLAI often necessitates operative intervention to restore the stability of the ankle joint. The traditional or modified Broström techniques have been the gold standard operative approaches to address CLAI with satisfactory results; however, patients with generalized ligament laxity (GLL), prior unsuccessful repair, high body mass index, or high-demand athletes may experience suboptimal outcomes. Synthetic ligament constructs have been tested as an adjunct to orthopedic procedures to reinforce repaired or reconstructed ligaments or tendons with the hope of early mobilization, faster rehabilitation, and long-term prevention of instability. Suture tape augmentation is useful to address CLAI. Multiple operative techniques have been described. Because of the heterogeneity among the reported techniques and variability in postoperative rehabilitation protocols, it is difficult to evaluate whether the use of suture tape augmentation provides true clinical benefit in patients with CLAI. This review aims to provide a comprehensive outline of all the current techniques using suture tape augmentation for treatment of CLAI as well as present recent research aimed at guiding evidence-based protocols.
Databáze: Directory of Open Access Journals
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