Non-anatomical or direct anatomical repair of chronic lateral instability of the ankle: A systematic review of the literature after at least 10 years of follow-up

Noailles, Thibaut; Lopes, Ronny; Padiolleau, G.; Brilhault, J.

doi:10.1016/j.fas.2016.10.005

Cited by 36 publications

(21 citation statements)

References 73 publications

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“…Long-term studies result in good or very good results in 57% to 92% of patients. 32 The imaging evaluation of the present study reports results comparable to those found in other published reports on primary reconstructions, which vary from 3.9 and 7 degrees for the median talar tilt test 22 and from 2 to 3 mm for the median anterior drawer. 13 Few papers in the literature analyze the results of revision surgery following failure of surgical treatment for chronic lateral ankle instability.…”

Section: Discussionsupporting

confidence: 89%

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Extensor Retinaculum Flap and Fibular Periosteum Ligamentoplasty After Failed Surgery for Chronic Lateral Ankle Instability

Pintore¹,

Cipollaro

Pintore³

et al. 2020

Foot Ankle Int.

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Background: The anterior talofibular ligament and the calcaneofibular ligament are 2 of the most frequently injured structures in sports, being damaged in 30% to 45% of all sports injuries. Most reconstructive procedures are successful but can deteriorate with time and can lead to low-grade radiographic degeneration. Methods: We operated on 26 consecutive patients from 2001 to 2008 who had failed previous surgical procedures for the lateral ligamentous complex of the ankle, with an average of 104 (range, 75-140) months. Results: The overall functional rating was excellent in 14 ankles, good in 10, fair in 1, and poor in 1. Twenty-four patients (92.3%) were satisfied with the procedure and 15 (57.7%) were able to return to their preinjury level of activity. Local complications were detected in 2 patients who presented with skin necrosis; 1 patient developed severe reflex sympathetic dystrophy. Conclusion: Revision surgery for the management of failure after surgical treatment of chronic lateral ankle instability is under debate, and the literature is devoid of clinical studies with long-term follow-up. The technique described offers a high rate of long-term excellent and good results, with a low rate of complications and a good rate of return to preinjury level. Level of Evidence: Level IV, retrospective case series.

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Section: Discussionsupporting

confidence: 89%

“…1,5,9,15,19,20,22,24,27,28,33,40 Few studies described long-term follow-up (>5 years). Noailles et al 32 analyzed studies with at least a 10-year follow-up (mean, 15.3 years), evaluating DAR procedures and NAR procedures. DAR procedures revealed better functional outcome but a greater rate of recurrent instability.…”

Section: Discussionmentioning

confidence: 99%

Extensor Retinaculum Flap and Fibular Periosteum Ligamentoplasty After Failed Surgery for Chronic Lateral Ankle Instability

Pintore¹,

Cipollaro

Pintore³

et al. 2020

Foot Ankle Int.

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“…At present, the treatment methods for chronic lateral ankle instability mainly include nonanatomical reconstruction, anatomical repair, and anatomical reconstruction; usually, anatomical repair of the ATFL is the first choice for initial surgery. 15 Since Broström proposed anatomical repair of the ATFL in 1966, 3 the modified Broström-Gould procedure has been considered the gold standard for anatomical repair of the ATFL. 2 It has been shown that the modified Broström-Gould surgery possesses good clinical effectiveness for repair of the ATFL for chronic lateral ankle instability.…”

mentioning

confidence: 99%

Open Broström-Gould Repair vs Arthroscopic Anatomical Repair of the Anterior Talofibular Ligament for Chronic Lateral Ankle Instability

Zeng

Liu³

et al. 2019

Foot Ankle Int.

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Background: The comparative studies on open vs arthroscopic anterior talofibular ligament (ATFL) repair are limited. This study aimed to compare the early therapeutic efficacy and cost between the traditional open Broström-Gould repair and all-arthroscopic anatomical repair of the ATFL for chronic lateral ankle instability. Methods: A total of 27 of patients with chronic lateral ankle instability undergoing repair of the ATFL between January 2013 and June 2015 were retrospectively included with a traditional open surgery (n = 10) group and arthroscopy (n = 17) group. The surgery duration, surgical cost, postoperative complications, and the preoperative/postoperative American Orthopaedic Foot & Ankle Society Score (AOFAS) and Karlsson-Peterson score were compared between groups. Results: Compared to the arthroscopy group, the open surgery group had significantly shorter surgery duration and lower surgical cost. However, there was no significant difference in hospitalization duration between groups. At 3 years after operation, the AOFAS and Karlsson scores were significantly improved in both groups. Nevertheless, there was no significant difference in the AOFAS and Karlsson scores between groups at both preoperative and postoperative assessment. No significant difference was found in the incidence of postoperative complications between the 2 groups. Conclusion: These results suggest that open Broström-Gould repair and all-arthroscopic anatomical repair of the ATFL have comparable therapeutic efficacy for chronic lateral ankle instability. The arthroscopic surgery had a smaller incision, while the open Broström-Gould had a shorter surgery duration and lower cost. Level of Evidence: Level III, comparative study.

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“…Additionally, portions of the inserting tendon of fibularis brevis muscle are routinely harvested to repair damaged ankles (Monson et al, 2014). Long-term results from these surgical procedures have been mixed, as the functions of fibularis brevis muscle can be impaired (Noailles et al, 2018). Thus, prior to surgery, variations in fibularis brevis tendon morphology need be appreciated.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Tripartite Insertion of the Fibularis (Peroneus) Brevis Muscle: a Case Report

et al. 2019

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tripartite insertion of the fibularis (peroneus) brevis muscle: A case report. Int. J. Morphol., 37(2):481-485, 2019. SUMMARY:The fibularis brevis muscle typically inserts by a single long, robust, flat tendon upon the base of the fifth metatarsal. In this case report, we demonstrate two comparatively small accessory tendons of insertion in both the right and left limbs of an elderly cadaver. In each limb, the superior and inferior accessory tendons arose from the distal end of the main tendon of insertion to attach to, respectively, the shaft and neck of the fifth metatarsal. The bilateral presence of this comparatively rare condition is a new finding. Review of the literature reveals that these accessory tendons are most probably remnants of the inserting tendons of the atavistic muscle peroneus digiti minimi. The presence of this anomaly could affect reconstruction surgeries that utilize the inserting tendon of fibularis brevis, and treatment of avulsion fractures of the base of the fifth metatarsal.

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Non-anatomical or direct anatomical repair of chronic lateral instability of the ankle: A systematic review of the literature after at least 10 years of follow-up

Cited by 36 publications

References 73 publications

Extensor Retinaculum Flap and Fibular Periosteum Ligamentoplasty After Failed Surgery for Chronic Lateral Ankle Instability

Extensor Retinaculum Flap and Fibular Periosteum Ligamentoplasty After Failed Surgery for Chronic Lateral Ankle Instability

Open Broström-Gould Repair vs Arthroscopic Anatomical Repair of the Anterior Talofibular Ligament for Chronic Lateral Ankle Instability

Bilateral Tripartite Insertion of the Fibularis (Peroneus) Brevis Muscle: a Case Report

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