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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.3K
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...
2.3K

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Related Experiment Video

Updated: Dec 2, 2025

A Mouse Model of Ankle-Subtalar Complex Joint Instability
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A Mouse Model of Ankle-Subtalar Complex Joint Instability

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Chronic Lateral Ankle Instability: Topical Review.

Rocco Aicale1,2, Nicola Maffulli1,2,3,4

  • 1Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Baronissi, Italy.

Foot & Ankle International
|November 5, 2020
PubMed
Summary
This summary is machine-generated.

Chronic ankle instability often stems from poorly managed acute ligament injuries. Surgical options like repair or reconstruction are considered when rehabilitation fails, but tenodesis is not recommended due to biomechanical concerns.

Keywords:
Broström techniqueBroström-Gould techniqueEvans techniqueanatomic reconstructionanatomic repairankleankle instabilityarthroscopyinternal brace

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Ankle Biomechanics

Background:

  • Chronic ankle instability frequently arises from inadequately treated acute lateral ankle ligament injuries.
  • While conservative management is primary for acute injuries, surgical intervention is reserved for specific cases, particularly after failed rehabilitation.

Purpose of the Study:

  • To review operative management options for chronic ankle instability.
  • To evaluate the efficacy and indications for different surgical techniques.

Main Methods:

  • Review of current literature on surgical treatments for chronic ankle instability.
  • Analysis of outcomes for anatomic repair, reconstruction, and tenodesis procedures.
  • Consideration of arthroscopy as an adjunct to ligamentous repair.

Main Results:

  • Anatomic repair is suitable for good quality ligaments; reconstruction with grafts is indicated for inadequate ligament tissue.
  • Ankle arthroscopy can identify and address intra-articular pathology during ligamentous procedures.
  • Tenodesis techniques are discouraged due to adverse long-term effects on ankle and hindfoot biomechanics.

Conclusions:

  • Surgical management for chronic ankle instability should prioritize anatomic repair or reconstruction based on ligament quality.
  • Arthroscopic assessment is valuable for comprehensive intra-articular evaluation and treatment.
  • Tenodesis procedures should be avoided to preserve normal ankle and hindfoot biomechanics.