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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.8K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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A Mouse Model of Ankle-Subtalar Complex Joint Instability
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Treatment algorithm for chronic lateral ankle instability.

Sandro Giannini1, Alberto Ruffilli1, Gherardo Pagliazzi1

  • 1I Clinic of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, Bologna Italy.

Muscles, Ligaments and Tendons Journal
|March 14, 2015
PubMed
Summary
This summary is machine-generated.

Anatomic reconstruction effectively treats chronic lateral ankle instability, showing lasting improvements in ankle function. Both this method and the Brostrom-modified repair yielded similar positive outcomes in patients.

Keywords:
anatomic reconstructionankle sprainchronic ankle instabilityplantaris

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Reconstructive Surgery

Background:

  • Ankle sprains are frequent sports injuries, with 20% leading to chronic instability.
  • Chronic ankle instability often necessitates surgical intervention.
  • This study focuses on patients with chronic lateral ankle instability.

Purpose of the Study:

  • To evaluate the outcomes of anatomic reconstruction for chronic lateral ankle instability.
  • To compare anatomic reconstruction with the Brostrom-modified technique.

Main Methods:

  • A cohort of 38 patients with chronic lateral ankle instability was studied.
  • Seventeen patients underwent Brostrom-modified repair.
  • The remaining 21 patients received anatomic reconstruction using grafts.

Main Results:

  • At a mean 5-year follow-up, the AOFAS score significantly improved from 66.1 to 92.2.
  • Anatomic reconstruction demonstrated satisfactory long-term subjective and objective results.
  • No significant differences in clinical or functional outcomes were found between the two surgical techniques.

Conclusions:

  • Anatomic reconstruction is a highly effective treatment for chronic lateral ankle instability.
  • Both anatomic reconstruction and Brostrom-modified repair offer comparable, positive long-term outcomes.
  • The study highlights a low complication rate associated with these surgical procedures.