J Korean Foot Ankle Soc.  2016 Mar;20(1):12-18. 10.14193/jkfas.2016.20.1.12.

The Indication of Ankle Lateral Ligament Reconstruction Using Tendon Graft in Chronic Ankle Instability

Affiliations
  • 1Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Anyang, Korea.
  • 2Department of Orthopaedic Surgery, Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
  • 3Department of Orthopaedic Surgery, Hallym University Chuncheon Sacred Heart Hospital, Chuncheon, Korea.
  • 4Department of Orthopaedic Surgery, Chungnam National University Hospital, Daejeon, Korea.
  • 5Dr. Choi's Orthopedics, Seoul, Korea.
  • 6Department of Orthopaedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.
  • 7Department of Orthopaedic Surgery, Guro Hospital, Korea University College of Medicine, Seoul, Korea.
  • 8Department of Orthopaedic Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea.
  • 9Department of Orthopaedic Surgery, Saeum Hospital, Seoul, Korea.
  • 10Department of Orthopaedic Surgery, Seoul Medical Center, Seoul, Korea.
  • 11Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. osmedic@yuhs.ac

Abstract

PURPOSE
The purpose of this study is to review the indications of ankle lateral complex reconstruction using tendon graft.
MATERIALS AND METHODS
We searched PubMed using the index, "ankle, instability, lateral ligament, reconstruction" from 1990 to present (September 30, 2015). We excluded 1) modified Brostrom operation (MBO), 2) conventional tenodesis surgery, 3) review article, 4) technical note, and 5) articles written in another foreign language. We reviewed 24 papers through the publication events, operational method, the indications of surgery, and the specific features of the patient group.
RESULTS
There were the indications of 1) previous ligament surgery failure, 2) situation when ligament repair is impossible due to the ligament defect, 3) severe instability (preoperative talar tilt >15degrees, anterior draw >10 mm or the difference of contralateral side talar tilt >5degrees, anterior draw >3 mm), and 4) overweight (body mass index >30 kg/m2). Other considerations included 1) generalized joint laxity and 2) workers, highly-demanded or athlete highly-affected by instability.
CONCLUSION
The ankle lateral complex reconstruction using tendon graft could be indicated in patients with the possibility of MBO failure with several considerations.

Keyword

Ankle; Chronic joint instability; Ligament reconstruction; Indications

MeSH Terms

Ankle*
Athletes
Collateral Ligaments
Humans
Joint Instability
Lateral Ligament, Ankle*
Ligaments
Overweight
Publications
Tendons*
Tenodesis
Transplants*

Reference

References

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