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Tenodesis for chronic lateral ankle instability.

A R Catanzariti1, R W Mendicino

  • 1Division of Foot and Ankle Surgery, Department of Surgery, Western Pennsylvania Hospital, Pittsburgh, Pennsylvania, USA.

Clinics in Podiatric Medicine and Surgery
|August 14, 2001
PubMed
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Tenodesis procedures for lateral ankle stabilization may cause motion loss but are considered for subtalar joint instability. Stability is prioritized over range of motion in degenerative ankle cases, with short-term success but potential long-term deterioration and residual pain.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Anatomic reconstruction is ideal for ankle stabilization to prevent range of motion deficits.
  • Tenodesis procedures are often unavoidable for subtalar joint instability.
  • Current surgical options lack anatomic reconstruction for subtalar joint instability.

Purpose of the Study:

  • To evaluate the role of tenodesis procedures in lateral ankle stabilization, particularly for subtalar joint instability.
  • To compare the importance of stability versus range of motion in degenerative ankle joint conditions.
  • To analyze the short-term and long-term outcomes of tenodesis for ankle instability.

Main Methods:

  • Review of surgical goals for lateral ankle stabilization.
  • Consideration of tenodesis procedures in cases of subtalar joint instability.

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  • Analysis of the trade-offs between stability and range of motion.
  • Evaluation of short-term (less than 5 years) and long-term (greater than 9 years) results.

    • Main Results:

    • Motion loss is an inherent outcome of tenodesis procedures.
    • Tenodesis offers good short-term stability but may lead to poorer outcomes over time.
    • Residual pain is a common consequence of tenodesis procedures.

    Conclusions:

    • Tenodesis procedures are a viable option for lateral ankle stabilization when subtalar joint instability is present.
    • Prioritizing joint stability over range of motion is recommended for patients with degenerative ankle changes.
    • Surgeons should counsel patients on the potential for long-term outcome deterioration and residual pain following tenodesis.