Percutaneous Ankle Reconstruction of Lateral Ligaments (Perc-Anti RoLL)

Publication date: Available online 17 November 2018Source: Fuß & SprunggelenkAuthor(s): Mark Glazebrook, Mohammad Eid, James Stone, Kentaro Matsui, Stéphane Guillo, Masato Takao, Bernard BurgessonSummaryChronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. If non-operative treatments fail, then operative ankle stabilization may be required to improve pain and function. Operative options include both anatomic repair and reconstruction techniques. Anatomic repair techniques utilize pre-existing ligament remnants that are either reattached or tightened to improve stability of the ankle. If pre-existing ligament structures have been damaged beyond repair or are insufficient to allow repair, then it is appropriate to choose an anatomic reconstructive technique. These procedures have traditionally been performed using open techniques and have been successful in restoring function and decreasing pain. In 2005, an open anatomic reconstruction technique using a gracilis Y-graft and Inside-out technique was reported with good results. In the current paper we describe a Percutaneous Reconstruction of the Lateral Ligaments (Perc-Anti RoLL), which is a new minimally invasive surgical technique for anatomic reconstruction of the lateral ligaments of the ankle that utilizes the anatomic Y-graft and Inside-out technique. The Perc-Anti RoLL technique can be performed percutaneously using fluoroscopic guidance.ZusammenfassungDie c...
Source: Fuss and Sprunggelenk - Category: Podiatry Source Type: research