J Korean Orthop Assoc.  2014 Feb;49(1):22-28. 10.4055/jkoa.2014.49.1.22.

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

Affiliations
  • 1Department of Orthopaedic Surgery, School of Medicine, Chosun University, Gwangju, Korea. leejy88@chosun.ac.kr

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 Brostrom 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.

Keyword

ankle; chronic lateral instability; reconstruction; tenodesis or tendon graft
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