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Augmented lateral ankle reconstruction using a free gracilis graft
Michael J Coughlin1, Victoria Matt, Robert C Schenck
1Department of Orthopedics, Oregon Health Sciences University, Portland, USA.
Orthopedics
|January 29, 2002
Summary
This study presents a modified Elmslie procedure using gracilis tendon grafts for ankle instability reconstruction. The technique anatomically reconstructs the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL).
Area of Science:
- Orthopedic surgery
- Sports medicine
- Anatomy
Background:
- Ankle instability often results from injury to the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL).
- Traditional surgical techniques may not provide sufficient anatomic restoration.
- The Elmslie procedure is a known method for ankle stabilization.
Purpose of the Study:
- To describe a modified Elmslie procedure for anatomic reconstruction of the unstable ankle.
- To detail the use of a gracilis tendon autograft for ATFL and CFL augmentation.
Main Methods:
- A modified Elmslie surgical technique was employed.
- Anatomic reconstruction of the ATFL and CFL was performed.
- A free gracilis tendon graft was utilized for ligamentous augmentation.
Main Results:
- The described technique allows for anatomic reconstruction of the ATFL and CFL.
- This method addresses ankle instability through ligamentous augmentation.
- The gracilis tendon serves as a viable graft material for this procedure.
Conclusions:
- The modified Elmslie procedure offers an effective method for the anatomic reconstruction of ankle instability.
- Gracilis tendon grafting provides a reliable option for augmenting the ATFL and CFL.
- This surgical technique aims to restore ankle stability and function.