[Arthroscopic repair of chronic lateral ankle instability].

[Arthroscopic repair of chronic lateral ankle instability].
Oper Orthop Traumatol. 2019 Mar 27;:
Authors: Baumbach SF, Braunstein M, Herterich V, Böcker W, Waizy H, Polzer H
Abstract
OBJECTIVE: Repair of the lateral ligament complex of the ankle joint; identification and treatment of intra-articular pathologies.
INDICATIONS: Symptomatic chronic lateral ankle instability. Treatment of osteochondral lesions associated with lateral ankle instability.
CONTRAINDICATIONS: Osteoarthritis of the ankle joint, risk factors such as peripheral occlusive disease, diabetic foot syndrome, complex regional pain syndrome.
SURGICAL TECHNIQUE: Diagnostic arthroscopy of the ankle joint utilizing anterolateral and -medial portals; identification and treatment of intra-articular pathologies; identification and preparation of the distal fibula; insertion of two suture anchors; the sutures are passed inside-out through the joint capsule, the scarred lateral ligaments, the extensor retinaculum using a suture lasso; by tying down the sutures the tissue grasped is then pulled against the distal fibula; this will stabilize the lateral ligament complex.
POSTOPERATIVE MANAGEMENT: Partial weight-bearing and short leg cast for 2 weeks, then 4 weeks ankle brace and range of motion exercises, thereafter functional physical therapy, ankle brace only during exercises; no sports for at least 3 months.
RESULTS: Currently, one r...

Source: Operative Orthopadie und Traumatologie - March 26, 2019 Category: Orthopaedics Authors: Baumbach SF, Braunstein M, Herterich V, Böcker W, Waizy H, Polzer H Tags: Oper Orthop Traumatol Source Type: research