Abstract
Choice of surgical technique for the stabilization of chronic lateral ankle instability, and repair vs. reconstruction is done by evaluating the quality of the remnant. Preoperative MRI including axial T2-weighted image evaluation is reported as a reliable and valid decisional tool. The author compared the results of arthroscopic evaluation with the results of stress radiography, MRI, and stress ultrasonography and found that only stress ultrasonography showed significantly correlation with arthroscopic evaluation. Accordingly, the author recommend repair surgery for cases in which ligament fibers are found and reconstruction for cases in which ligament fibers are not found by preoperative stress ultrasound examination, and the operative procedure is finally determined by intraoperative arthroscopic evaluation.
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Takao, M. (2020). State of the Art in Ankle Ligament Surgery—Repair vs. Reconstruction: How to Choose?. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_7
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DOI: https://doi.org/10.1007/978-3-662-61264-4_7
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