Tenodesis Versus Carbon Fiber Repair of Ankle Ligaments

Becker, Horst Peter; Rosenbaum, Dieter; Zeithammel, Gerhard; Gnann, Ralph; Bauer, Gerhard; Gerngroß, H.; Claes, Lutz

doi:10.1097/00003086-199604000-00023

Cited by 54 publications

(31 citation statements)

References 21 publications

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“…Medialization of stress in feet after tenodeses is a result of the lateral tension of the tendons and thus eversion of the hindfoot. In contrast, anatomic reconstruction procedures seem to have no effects on plantar pressure distribution [5]. This was confirmed in our study.…”

Section: Discussionsupporting

confidence: 88%

“…Becker et al [5] and Rosenbaum et al [25] performed functional exams such as dynamic pedography on patients with Evans tenodeses: they noted a major asymmetry of the gait pattern. Stress was found to be medialized in the repaired ankle and was accompanied by a significant increase in the peak pressure values and relative impulses in the arch of the foot.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anatomical repair of lateral ligaments in patients with chronic ankle instability

Schmidt

Benesch

Friemert

et al. 2004

Knee Surg Sports Traumatol Arthrosc

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In a prospective study, 19 patients with chronic ankle instability underwent clinical and radiographic reexaminations 36 months after anatomical reconstruction. In addition, dynamic pedography was conducted and peroneal reaction time measured on a tilting platform for an evaluation of functional aspects. Prior to this examination, 32 patients had been asked to fill in a questionnaire and make a detailed subjective evaluation of current discomfort, stability, flexibility and sporting abilities. Eighty-eight percent of the patients reported satisfactory results; only 3% complained of persistent instability. In 71% the ability to take part in sports had improved after surgery, and 85% of the patients reported unrestricted walking abilities. Supination ability was impaired in 5% of the patients at the follow-up. The radiographic examination showed restored ankle stability with a significant reduction of talar tilt and talar translation; a postoperative increase in signs and symptoms of arthrosis was not observed. Dynamic pedography showed a large degree of symmetry of plantar pressure distribution after surgery. There were no significant differences in peroneal reaction time in the repaired and intact ankles. The results of the study show that it is possible to restore ankle stability with anatomical reconstruction without impairing the range of movement in the ankle joint complex. Progressive osteoarthrosis can be prevented.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Anatomical repair of lateral ligaments in patients with chronic ankle instability

Schmidt

Benesch

Friemert

et al. 2004

Knee Surg Sports Traumatol Arthrosc

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“…A major goal of either repair or reconstruction is to restore normal motion to the joint, and hence prevent degenerative changes to the cartilage 30, 44, 48, 49. Currently, the appropriate surgical treatment for ankle ligament injuries remains controversial 11, 21, 28-30, 34, 36, 40, 41, 44, with more than 80 different reconstruction and repair techniques described in the literature 7. Many authors advocate anatomic reconstruction, arguing that tenodesis does not restore normal anatomy and normal motion 6, 30.…”

Section: Discussionmentioning

confidence: 99%

In Vivo Kinematics of the Tibiotalar Joint After Lateral Ankle Instability

et al. 2009

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BACKGROUND Previous studies have suggested injury to the anterior talofibular ligament may be linked to altered kinematics and the development of osteoarthritis of the ankle joint. However, the effects of ATFL injury on the in vivo kinematics of the ankle joint are unclear. HYPOTHESIS Based on the orientation of the ATFL fibers, we hypothesized that ATFL deficiency would lead to increased anterior translation and increased internal rotation of the talus relative to the tibia. STUDY DESIGN Controlled laboratory study. METHODS The ankles of 9 patients with unilateral ATFL injuries were compared as they stepped onto a level surface. Kinematic measurements were made as a function of increasing load. Using magnetic resonance imaging and orthogonal fluoroscopy, the in vivo kinematics of the tibiotalar joint were measured in the ATFL deficient and intact ankles from the same individuals. RESULTS A statistically significant increase in internal rotation, anterior translation, and superior translation of the talus was measured in ATFL deficient ankles as compared to intact, contralateral controls. For example, at 100% body weight, ATFL deficient ankles demonstrated a statistically significant increase in anterior translation of 0.9 ± 0.5mm (p = 0.008). At 100% body weight, the ATFL deficient ankle was internally rotated relative to the intact ankle by 5.7 ± 3.6° (p = 0.008). There was a slight increase of 0.2 ± 0.2mm in the superior translation of the ATFL deficient ankle compared to the intact ankle at 100% body weight (p = 0.02). CONCLUSIONS ATFL deficiency increases anterior translation, internal rotation, and superior translation of the talus. CLINICAL RELEVANCE Altered kinematics may contribute to the degenerative changes observed with chronic lateral ankle instability. These findings might help to explain the degenerative changes frequently observed on the medial talus in patients with chronic ATFL insufficiency and provide a baseline for improving ankle ligament reconstructions aimed at restoring normal joint motion.

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“…Neither immunological rejections nor complaints of late instability were reported (Becker et al 1996 ). Neither immunological rejections nor complaints of late instability were reported (Becker et al 1996 ).…”

Section: Anatomical Reconstruction With An Allograftmentioning

confidence: 96%

“…The Evans tenodesis is technically the least demanding of these tenodeses. Several good short-term 9.3 Ankle Joint Instability 200 results have been reported, but long-term followup studies have shown disappointing functional results in approximately two-thirds of the patients (Karlsson et al 1988b ;Rosenbaum et al 1996Rosenbaum et al , 1997Snook et al 1985 ). Several authors have reported good short-term results after this reconstruction and its modifi cations, but the long-term results have varied.…”

Section: Tenodesismentioning

confidence: 99%

Ankle Arthroscopy

Dijk¹

2014

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Tenodesis Versus Carbon Fiber Repair of Ankle Ligaments

Cited by 54 publications

References 21 publications

Anatomical repair of lateral ligaments in patients with chronic ankle instability

Anatomical repair of lateral ligaments in patients with chronic ankle instability

In Vivo Kinematics of the Tibiotalar Joint After Lateral Ankle Instability

Ankle Arthroscopy

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