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Mini-Incision Technique for Lateral Ankle Ligament Repair in Chronic Instability

  • Gian Luigi Canata
  • Valentina Casale
  • Luca Pulici
Chapter

Abstract

The majority of ankle sprains are caused by an inversion mechanism, which usually involves the lateral ligament complex. The most used classification incorporates anatomical damage with patient’s symptoms and grades the injuries from I to III.

Generally, conservative management is preferred for the treatment of grade I and II ankle sprains to restore the mechanical joint stability through neuromuscular reprogramming, foot evertor muscles reinforcement, and muscular pre-activation.

However, if the patient fails to respond to conservative management after 6 months, a surgical stabilization is required.

Over the years, numerous surgical procedures have been reported for the treatment of the chronic ankle instability, but the Broström-Gould reconstruction technique is still considered the “gold standard.”

The mini-invasive lateral reefing technique described in this chapter shows excellent results comparing favorably to other open or arthroscopic approaches.

Keywords

Lateral ankle ligaments Ankle sprain management Broström-Gould procedure Lateral ankle ligament reefing 

Abbreviations

ATFL

Anterior talofibular ligament

CFL

Calcaneofibular ligament

FAAM

Foot and ankle ability measure

MRI

Magnetic resonance imaging

PTFL

Posterior talofibular ligament

ROM

Range of movement

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Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Gian Luigi Canata
    • 1
  • Valentina Casale
    • 1
  • Luca Pulici
    • 2
    • 3
  1. 1.Centre of Sports Traumatology, Koelliker HospitalTorinoItaly
  2. 2.Sports Traumatology Unit, Department of Knee OrthopedicHumanitas Research HospitalMilanItaly
  3. 3.FC Internazionale Medical StaffMilanItaly

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