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Related Experiment Videos

Revision lateral ankle reconstruction.

Michael A Kuhn1, Frederick G Lippert

  • 1Department of Orthopaedics, National Naval Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889, USA. drmakuhn@hotmail.com

Foot & Ankle International
|February 21, 2006
PubMed
Summary

Revision lateral ankle reconstruction using an anatomic approach provides excellent outcomes, restoring function and reducing pain in patients with recurrent instability. This technique avoids extensive tendon sacrifice and allows return to active lifestyles.

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Anatomy

Background:

  • Symptomatic lateral ankle instability often requires surgical intervention.
  • The Gould modification of the Broström procedure is common but can lead to recurrent instability.
  • Revision surgery using nonanatomic grafts may cause persistent pain and limited motion.

Purpose of the Study:

  • To evaluate the success rate of an anatomic revision lateral ankle reconstruction.
  • To demonstrate an equivalent success rate compared to index procedures.
  • To refine the technique based on the Gould modification of the Broström concept.

Main Methods:

  • Retrospective review of 15 patients undergoing revision lateral ankle reconstruction by a single surgeon.
  • Inclusion of valgus calcaneal osteotomy for patients with hindfoot varus and dynamic heel rollout.

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  • Postoperative assessment using a 100-point questionnaire.
  • Main Results:

    • All patients reported improved ankle function and decreased pain.
    • Twelve of 15 patients achieved excellent results, comparable to initial Broström reconstructions.
    • All patients returned to active lifestyles, including sports and military service.

    Conclusions:

    • Anatomic revision lateral ankle reconstruction is an effective treatment option.
    • Thorough clinical evaluation for hindfoot valgus and dynamic ankle rollout is crucial.
    • Tendon-sacrificing procedures may be avoidable with careful intraoperative assessment.