Complications of Lateral Ankle Ligament Reconstruction

Iatrogene Langzeitschäden nach nicht-anatomischer lateraler Bandrekonstruktion am oberen Sprunggelenk

“…The present article gives an overview over the three most common non-anatomic tenodesis-techniques and illustrates their most frequent complications. [5]. Ob eine anatomische Rekonstruktion in diesem Fall zu einem besseren Ergebnis geführt hätte, kann nicht bewiesen, aber aufgrund der Literatur vermutet werden.…”

Treatment algorithm for chronic lateral ankle instability

“…The anterior talo-fibular ligament (AT-FL), the weakest and the shortest of the ligaments of the lateral complex, is involved in the majority of lateral ankle sprains, while the calcaneo-fibular ligament (CFL) and the posterior talo-fibular ligament (PTFL) are involved in 50-75%, and <10% respectively 1 . Predisposing factors which may cause repetitive ankle twisting episodes such as hindfoot varus, plantarflexed first ray, and cavus foot type must be considered in the diagnosis 2,3 . Giannini et al in 1983 stated that 67% of lateral ankle sprains occurred in active patients with cavus foot 4 .…”

Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

“…Upon return to play, continued proprioceptive training is vital to minimize recurrence [33][34][35][36] . Semi-rigid orthoses and air-cast braces may help prevent ankle sprains, especially in athletes with a history of recurrent instability [37][38][39] . Bracing has a mechanical advantage over simple taping, as tape loses its ability to restrict inversion and eversion approximately 20 min after starting activity [39] .…”

“…Traditionally, two forms of repair are considered: An anatomic reconstruction such as the Brostrom or Gould modification (Figure 4), or a nonanatomic checkrein tenodesis such as the ChrismanSnook procedure [20,40] . Anatomical repairs appear to produce better outcomes and there is additional concern that some checkrein procedures can restrict subtalar motion and prevent normal agility on playing surfaces by altering hindfoot biomechanics [38,[41][42][43] . As over 90% of patients with chronic ankle instability have additional intra-articular lesions, arthroscopic ankle evaluation, and treatment where necessary, can be performed at the same time as open lateral ankle ligament repair [44,45] .…”