Newly modified Evans operation enables immediate mobilization. Reinforcement band stabilizes ankle, no cast is used

A new technique for reinforcement using a modified Evans procedure, which enables immediate mobilization of the foot and ankle after surgery, has been developed. The reinforcement band is implanted parallel to the tenodesis of the peroneus brevis, about 1 cm proximal to the tendon, from a hole in the base of the fifth metatarsus to a hole in the lateral malleolus. Postoperative immobilization and its possible adverse sequelae are eliminated by this procedure. The surgical technique described in this paper was used to treat 13 patients with chronically unstable ankles. In all cases, excellent surgical results were obtained and leg immobilization was virtually eliminated. Physical therapy was begun in the immediate postoperative period, and the rehabilitation period was significantly reduced.