Arthroscopic Four-Step Treatment for Chronic Ankle Instability

Ventura, Alberto; Terzaghi, Clara; Legnani, Claudio; Borgo, Enrico

doi:10.3113/fai.2012.0029

Cited by 33 publications

(34 citation statements)

References 53 publications

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“…Moreover, arthroscopy is used in visualising the ligament in reconstruction procedures [11]. A less invasive arthroscopic technique has been reported to have good results in treating chronic ankle instability with ATFL injury [12].…”

Section: Introductionmentioning

confidence: 99%

The anterior talofibular ligament: A detailed morphological study

Khawaji

Soames

2015

The Foot

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Section: Introductionmentioning

confidence: 99%

The anterior talofibular ligament: A detailed morphological study

Khawaji

Soames

2015

The Foot

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“…Several teams have recently published the results of arthroscopic Bröström-Gould type capsule-ligament repair, which confirms the fundamental role of arthroscopy in treating chronic lateral ankle instability [2][3][4][5][6][7][8][9]. Although the Bröström-Gould technique is the gold standard for most cases, the repair cannot be performed in some cases, thus a reconstruction with tendon grafts is needed.…”

Section: Introductionmentioning

confidence: 66%

“…• assessment and treatment of commonly associated injuries that impact the prognosis after ligament repair [14]; • assessment of ligament integrity (ATFL, CFL), thus helping the surgeon decide which repair technique is most appropriate for a given case [15]; • treatment of chronic lateral instability using either the Bröström-Gould type ligament repair procedure [2][3][4][5][6][7][8][9] or ligament reconstruction and repair as described in this article [10,11].…”

Section: Discussionmentioning

confidence: 99%

Anatomical reconstruction of the anterior talofibular and calcaneofibular ligaments with an all-arthroscopic surgical technique

Guillo

Cordier

Sonnery‐Cottet

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

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Arthroscopy is becoming an essential tool for the treatment of chronic lateral ankle instability. It allows the surgeon to determine which ligaments are injured and choose the most appropriate surgical repair technique, and also to assess and treat any associated injuries. Several arthroscopic techniques for lateral ankle ligament repair have recently been developed. As a consequence, it may be possible to carry out complete lateral ligament reconstruction with an all-arthroscopic procedure. Such an arthroscopic lateral ankle ligament reconstruction technique is described in this article.

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“…Operative setting and preliminary arthroscopic inspection were made according to those described by the authors in a previous paper [36]. …”

Section: Methodsmentioning

confidence: 99%

Treatment of post-traumatic osteochondral lesions of the talus: a four-step approach

Ventura

Terzaghi

Legnani

et al. 2012

Knee Surg Sports Traumatol Arthrosc

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PurposeThe purpose of this retrospective study was to assess the treatment of post-traumatic osteochondral lesions (OCLs) of the ankle with a four-step protocol.MethodsThirty-eight patients with at least one MRI-documented OCL of the ankle were treated from 2004 to 2010. Median age at surgery was 39 years (range: 18–52). Mean lesion size was 1.0 cm2 (SD: 0.2). All patients underwent a four-step surgical procedure including synovectomy, debridement and microfractures of the OCL, capsular shrinkage, and bracing and non-weightbearing for 21 days. Clinical assessment included objective examination, the AOFAS ankle and hindfoot scoring system, Karlsson-Peterson score, Tegner activity level, and Sefton articular stability scale. MRI scans were taken 18 months after surgery in all patients.ResultsFollow-up examination at an average of 4 years (SD: 1.1) after surgery showed significant improvement of all variables compared to pre-operative values (P < 0.05). Most patients rated their outcome as good/excellent. MRI scans taken 18 months after surgery documented completely repaired lesion in 27 ankles, slight bone marrow oedema with partially repaired defect in 9 patients, and visible defect in 2 ankles.ConclusionBased on the present results, we propose a comprehensive four-step protocol as a safe and clinically effective treatment option in patients with post-traumatic OCLs of the ankle.Level of evidenceRetrospective case series, Level IV.

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Arthroscopic Four-Step Treatment for Chronic Ankle Instability

Abstract: Based on our results, we propose arthroscopic treatment as a suitable option for moderate chronic ankle joint laxity in patients with a complete ATFL lesion.

Cited by 33 publications

References 53 publications

The anterior talofibular ligament: A detailed morphological study

The anterior talofibular ligament: A detailed morphological study

Anatomical reconstruction of the anterior talofibular and calcaneofibular ligaments with an all-arthroscopic surgical technique

Treatment of post-traumatic osteochondral lesions of the talus: a four-step approach

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