Acta Ortopédica Mexicana

Estrada MCA, Torres RF, Valdés ML
Treatment of chronic lateral ankle instability with a minimally invasive technique with autologous peroneus brevis tendon graft
Acta Ortop Mex 2009; 23 (1)

Language: Español
References: 24
Page: 3-8
PDF: 156.60 Kb.

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ABSTRACT

We performed a prospective study in 10 patients treated for chronic lateral ankle instability. Subjective evaluation was made with AOFAS functional scale. We included patients with subjective lateral ankle instability and clinical and radiographic instability tests, who persisted with symptoms after 3 months of conservative treatment. Preoperative and postoperative evaluation at the 12 and 52 weeks were performed in patients treated with a minimally invasive technique and arthroscopic for lateral instability. Mean follow-up was of 15 months. Six patients returned to previous activity level with no pain, three improved symptoms, and one did not improve after the procedure. Subjective evaluation with AOFAS functional scale reported excellent results in 73%, good results in 13% and regular results in 13%. We recommend this technique due to it is easily reproducible, minimally invasive, effective and helps the patient through a rapid rehabilitation process.


Key words: technic, arthroscopy, graft, ankle, instability.


REFERENCES

  1. Algren O, Larson S: 1989. Reconstruction pours lateral ligament injuries of the ankle. The Journal of Bone and Joint Surgery 1989; 71B(2): 300-3.

  2. Attarian DE, Devito DP: Biomechanical characteristics of human ankle ligaments. McCracking Foot Ankle 1985; 6: 54-8HJ.

  3. Brostrom L: Sprained ankles 1 anatomic lesion in recent sprains. Act Chirr Scand 1964; 128: 483-95.

  4. Girard P, Anderson RB, Davis WH: Clinical evaluation of the modified Broston-Evans procedure too restores ankle stability. Foot Ankle Into 1999; 20: 246-52.

  5. Peters JW, Trevine SG, Renstrom PA: Chronic lateral ankle instability. Foot and Ankle 1991; 12(3): 579-600.

  6. Banks AS, Downey MS, McGlamry MS: Comprehensive textbook of foot surgery. Williams and Wilkins, Baltimore. 1992.

  7. Colville MR, Marder RA, Zarins B: Reconstruction of the lateral ankle ligaments: a biomedical analysis. The American Journal of sports Medicine 1992; 20(5): 594-600.

  8. Hamilton WG, Thompson FM, Snow SW: The modified Bromstrum procedure for lateral ankle instability. Foot and Ankle 1993; 14(1): 1-8.

  9. Brostrom L: Sprained ankles III-clinical observations in resent ligament ruptures. Act Chirr Scand 1965; 130: 560-9.

  10. Brostrom L: Sprained ankles IV: Surgical treatment of chronic ligament ruptures. Act Chirr Scand 1966; 132: 551-65.

  11. Baumhauer J, O Brien T: Surgical considerations in the treatment of ankle instability. J Athl Train 2002: 37(4): 458-62.

  12. Chrisman OD, Snook GA: Reconstruction of the Lateral ligament tears of the ankle: An experimental study and clinical evaluations of seven patients treated by a new modification of the Elms lie procedure. J Bone Joint Surg Am 1969; 51(5): 904-12

  13. Hamilton WG: Modified Bromstrum procedure for acute and chronic ankle instability. In: Myerson, M. Current therapy of foot and ankle surgery. BC Decker, St Louis. 1993: 149-152.

  14. Karlsson J, Bergstant, Lansinger O, et al: Surgical treatment of chronical lateral instability of the ankle joint. Am J Sports Med 1989; 17: 268-73.

  15. Ottson L: Lateral instability for the ankle treated with is a modified Evans Procedure. Act Orthop Scand 1978; 49: 302-5.

  16. Rasmussen O: Stability of the ankle joint. Act Orthop Scand 1985; 211: 1-75.

  17. Saltrick KR: Lateral ankle stabilization: modified Lee and Chrisman-Snook. Clinics in Podiatric Medicine and Surgery 1991; 8(3): 579-600.

  18. Sammarco GJ, Carrasquillo HA: Surgical revision after failed lateral ankle reconstruction. Foot and Ankle 1995; 16(12): 748-53.

  19. Snook GA, Chrisman OD, Wilson TC: Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle. J Bone Joint Surg Am 1985; 67: 1-7.

  20. Sjolin SU, Dons-Jensen H, Simonsen O: Reinforced anatomical reconstruction of the anterior talofibular ligament in chronic anterolateral instability using a periosteal flap. Foot and Ankle 1991; 12(1): 15-8.

  21. Smith PA, Miller SJ, Borni AJ: A modified Chrisman-Snook procedure for reconstruction of lateral ligaments of the ankle: review of 18 cases. Foot and Ankle 1995; 16(5): 259-66.

  22. Soboroff SH, Pappius EM, Komaroff AL: Benefits, risks and costs of alternative approaches to the evaluation and treatment of severe ankle sprains. Clinics in Orthopaedics and Related Research 1984; 183: 160-8.

  23. Torres RF: Plicatura del ligamento peroneo astragalino anterior del tobillo. Una nueva técnica artroscópica. Rev Mex Ortop Traum 1999; 13(3): 174-6.

  24. Terrence MP, Lee TH, Berlet GC: Arthroscopy for athletic foot ankle injuries. Clin Sports Med 2004; 23: 35-53.