Arthroscopic-Assisted Broström-Gould for Chronic Ankle Instability

Nery, Caio; Raduan, Fernando; Buono, Angelo Del; Asaumi, Inácio Diogo; Cohen, Moisés; Maffulli, Nicola

doi:10.1177/0363546511416069

Cited by 264 publications

(244 citation statements)

References 30 publications

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“…Recently, several arthroscopically assisted techniques have been described for lateral ankle ligament reconstruction. 6,[15][16][17][18] These techniques, which are technically demanding, have shown early promise in Level IV studies with short-term follow-up. They effectively replicate the Broström-Gould procedure and fail to achieve true anatomic reconstruction.…”

Section: Placement Of Talar End Of Transplantmentioning

confidence: 99%

“…Nonanatomic positioning of the graft over-constrains the ankle or subtalar joints and may alter the biomechanics of the articulation, resulting in joint degeneration over time. 6 In addition, there has been controversy as to which patients need only ATFL reconstruction and which patients need both ATFL and CFL reconstruction. This article is the first to describe a safe and reproducible fully arthroscopic anatomic reconstruction of the lateral ligaments of the ankle using a gracilis autograft.…”

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confidence: 99%

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Arthroscopic Anatomic Reconstruction of the Lateral Ligaments of the Ankle With Gracilis Autograft

Guillo

Archbold²,

Perera

et al. 2014

Arthroscopy Techniques

106

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Lateral ankle sprains are common; if conservative treatment fails and chronic instability develops, stabilization surgery is indicated. Numerous surgical procedures have been described, but those that most closely reproduce normal ankle lateral ligament anatomy and kinematics have been shown to have the best outcomes. Arthroscopy is a common adjunct to open ligament surgery, but it is traditionally only used to improve the diagnosis and the management of any associated intra-articular lesions. The stabilization itself is performed open because standard anterior ankle arthroscopy provides only partial visualization of the anterior talofibular ligament from above and the calcaneofibular ligament attachments cannot be seen at all. However, lateral ankle endoscopy can provide a view of this area that is superior to open surgery. We have developed a technique of ankle endoscopy that enables anatomic positioning of the repair or fixation of the graft. In this article we describe a safe and reproducible arthroscopic anatomic reconstruction of the lateral ligaments of the ankle using a gracilis autograft. The aim of this procedure is to obtain a more physiological reconstruction while maintaining all the advantages of an arthroscopic approach.

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Section: Placement Of Talar End Of Transplantmentioning

confidence: 99%

mentioning

confidence: 99%

Arthroscopic Anatomic Reconstruction of the Lateral Ligaments of the Ankle With Gracilis Autograft

Guillo

Archbold²,

Perera

et al. 2014

Arthroscopy Techniques

106

View full text Add to dashboard Cite

show abstract

“…Aufgrund der individuellen, an die Patientenanatomie anpassbaren Technik werden v. a. anatomische Rekonstruktionsverfahren präferiert [2,3,22]. Als Goldstandard gelten hierbei die Broström-Gould-oder Karlsson-Verfahren modifiziert in Ankertechnik [3,[22][23][24]. Langzeitergebnisse zeigten auch nach Jahrzehnten bei über 90 % der Patienten ein gutes bis exzellentes Operationsergebnis nach durchgeführter Broström-Bandrekonstruktion [25].…”

Section: Operative Therapieunclassified

Erratum to: Ankle instability

2015

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“…A high ankle pain, proximal, extending up to the anterolateral aspect of the leg, may be indicative of a more severe injury [16]. Hence, the practitioner needs to maintain a high index of suspicion to glean relevant details regarding the mechanism of injury to differentiate a syndesmotic injury from other lateral ankle injuries [17,18]. It is also imperative to document the interval between injury and clinical presentation.…”

Section: Diagnosismentioning

confidence: 99%