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Endoscopic Ankle Lateral Ligament Graft Anatomic Reconstruction
Frederick Michels1, Guillaume Cordier2, Stéphane Guillo2
1Orthopaedic Department, AZ Groeninge Kortrijk, Burg Vercruysselaan 5, Kortrijk 8500, Belgium.
Foot and Ankle Clinics
|August 16, 2016
Summary
Chronic lateral ankle instability often requires surgery when non-surgical methods fail. This study details a safe and reproducible endoscopic technique using a gracilis graft for anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) reconstruction.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Chronic instability is a frequent complication following lateral ankle sprains.
- Surgical intervention is considered when conservative treatments prove ineffective.
- Endoscopic approaches for ankle instability are gaining prominence.
Purpose of the Study:
- To describe a step-by-step endoscopic technique for ankle instability reconstruction.
- To reconstruct the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) using a gracilis autograft.
Main Methods:
- Detailed description of an endoscopic surgical procedure.
- Utilized a gracilis tendon graft for ligamentous reconstruction.
- Focused on safety regarding surrounding anatomical structures.
Main Results:
- The described endoscopic technique is reproducible.
- The procedure demonstrated safety concerning adjacent anatomical structures.
- Short and midterm outcomes indicate significant benefits.
Conclusions:
- Endoscopic reconstruction of the ATFL and CFL with a gracilis graft is a viable option for chronic ankle instability.
- This technique offers a safe and reproducible method for surgical repair.
- Positive short and midterm results support the efficacy of this endoscopic approach.
