Abstract
Chronic ankle instability secondary to lateral ligament insufficiency is common after sports injury. Many surgical techniques have been described for the treatment of the lateral ankle ligament complex. They can be classified into repair or reconstruction, and non-anatomical or anatomical. A few authors have recently published innovative techniques for arthroscopic ankle ligament management. This paper describes the arthroscopic techniques enabling anatomical lateral ligament reconstruction using gracilis autograft or allograft for chronic ankle instability. This technique and the steps have been developed by the Ankle Instability Group to make this a reproducible procedure. The purpose of this presentation is to document the technique in the future with a view to a clinical study investigating the results of such surgery in a cohort of suitable patients with chronic ankle instability.
Level of evidence V.
This is a preview of subscription content, log in via an institution to check access.
References
Acevedo J, Mangone PG (2011) Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg 10(3):111–116
Baumhauer JF, O’Brien T (2002) Surgical considerations in the treatment of ankle instability. J Athl Train 37(4):458–462
Giza E, Shin EC, Wong SE, Acevedo JI, Mangone PG, Olson K, Anderson MJ (2013) Arthroscopic suture anchor repair of the lateral ligament ankle complex: a cadaveric study. Am J Sports Med 41(11):2567–2572
Guillo S, Bauer T, Lee JW, Takao M, Kong SW, Stone JW, Mangone PG, Molloy A, Perera A, Pearce CJ, Michels F, Tourne Y, Ghorbani A, Calder J (2013) Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy. Orthop Trauatol Surg Res 99(8 Suppl):S411–S419
Guillo S, Archbold P, Perera A, Bauer T, Sonnery-Cottet B (2014) Arthroscopic anatomic reconstruction of the lateral ligaments of the ankle with gracilis autograft. Arthrosc Tech 3(5):e593–e598
Lui TH (2007) Arthroscopic-assisted lateral ligamentous reconstruction in combined ankle and subtalar instability. Arthroscopy 23(5):554.e551–554.e555
Corte-Real NM, Moreira RM (2009) Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int 30(3):213–217
Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N (2011) Arthroscopic-assisted Brostrom-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med 39(11):2381–2388
Takao M, Oae K, Uchio Y, Ochi M, Yamamoto H (2005) Anatomical reconstruction of the lateral ligaments of the ankle with a gracilis autograft: a new technique using an interference fit anchoring system. Am J Sports Med 33(6):814–823
Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, Calder JD, Karlsson J, Ankle Instability G (2015) Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-015-3638-0
Vega J, Golano P, Pellegrino A, Rabat E, Pena F (2013) All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int 34(12):1701–1710
Author information
Authors and Affiliations
Consortia
Corresponding author
Additional information
Ankle Instability Group members are as follows: T. Bauer, J. Calder, N. M. Corte-Real, M. Glazebrook, S. Guillo, J. Karlsson, J. G. Kennedy, S. W. Kong, P. G. Mangone, F. Michels, A. Molloy, C. Nery, C. Pearce, A. Perera, H. Pereira, B. Pinenburg, F. Raduan, J. W. Stone, M. Takao, Y. Tourné, J. W. Lee.
Rights and permissions
About this article
Cite this article
Guillo, S., Takao, M., Calder, J. et al. Arthroscopic anatomical reconstruction of the lateral ankle ligaments. Knee Surg Sports Traumatol Arthrosc 24, 998–1002 (2016). https://doi.org/10.1007/s00167-015-3789-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-015-3789-z