[Lateral ankle ligament bracing].

[Lateral ankle ligament bracing]. Oper Orthop Traumatol. 2019 May 16;: Authors: Lohrer H Abstract OBJECTIVE: Covering the anatomic reconstruction (Broström procedure) with suture tape for more initial stability. Seat belt principle. INDICATIONS: Mechanical lateral ankle instability: athletes in sports at risk, patients with uncertain compliance with respect to the postoperative treatment regimen, patients with poor tissue quality, patients with generalized laxity, and patients with failed previous repairs. CONTRAINDICATIONS: Known implant intolerance, local or systemic infection, local soft tissue affections, hemorrhagic disorders. SURGICAL TECHNIQUE: Epimalleolar 5 cm skin incision. Anatomic repair of the lateral capsuloligamentous structures to the anterior facet of the lateral malleolus (e.g. Broström repair). Dissection down to origin and insertion of the anterior talofibular ligament (ATFL). Close proximal (fibula) and distal (talar neck) to the ATFL attachments to bone a 2.7 mm (fibular) and a 3.4 mm (talar) drill hole is created and taped with the respective tapes from the single use kit (Arthrex, Naples, FL, USA). Placement of a 3.5 mm × 15.8 mm BioComposite SwiveLock® screw, preloaded with suture tape into the fibula. The free ends of this suture tape are inserted into a 4.75 mm × 19.1 mm SwiveLock® anchor, which is screwed into the talar drill hole under moderate tensi...
Source: Operative Orthopadie und Traumatologie - Category: Orthopaedics Authors: Tags: Oper Orthop Traumatol Source Type: research