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Hamstring Autograft for Lateral Ligament Stabilization.

Karan A Patel1, Taylor Cabe2, Mark Drakos3

  • 1Department of Orthopedic Surgery, Foot and Ankle, Hospital for Special Surgery, New York, NY, USA. Karanapatel30@gmail.com.

Current Reviews in Musculoskeletal Medicine
|May 6, 2020
PubMed
Summary
This summary is machine-generated.

Hamstring autograft reconstruction effectively treats lateral ankle instability, showing superior biomechanical strength and comparable clinical outcomes to the Broström procedure. This method is ideal for high-risk patients needing robust ligament repair.

Keywords:
Broström procedureHamstring autograftLateral ankle instability

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Area of Science:

  • Orthopedic surgery
  • Sports medicine
  • Anatomy

Background:

  • Lateral ankle instability is a common condition often treated with surgical repair.
  • Traditional methods like the Broström procedure have limitations.
  • Hamstring autograft offers a potential alternative for ligament reconstruction.

Purpose of the Study:

  • To review current literature on hamstring autograft use for lateral ankle instability.
  • To evaluate its effectiveness, biomechanical properties, and clinical outcomes.
  • To identify patient populations who benefit most from this technique.

Main Methods:

  • Literature review of studies comparing hamstring autograft reconstruction with other methods.
  • Analysis of biomechanical data (load to failure).
  • Evaluation of patient-reported outcomes and objective measures from clinical studies.

Main Results:

  • Hamstring autograft reconstruction is effective for lateral ankle instability, yielding positive patient outcomes.
  • Biomechanical studies show greater strength compared to the Broström procedure.
  • Clinical studies indicate non-inferiority to the Broström procedure, with one synthetic technique showing superiority.

Conclusions:

  • Hamstring autograft is a viable and effective surgical option for lateral ankle instability.
  • It offers biomechanical advantages and comparable clinical results to existing procedures.
  • This technique is particularly beneficial for high-risk athletes and patients with complex cases.