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Ankle instability after fibular resection
S S Babhulkar1, K C Pande, S Babhulkar
1Sushrut Hospital, Nagpur, India.
The Journal of Bone and Joint Surgery. British Volume
|March 1, 1995
Summary
Partial fibula resection for grafting resulted in symptom relief for less than half of patients. However, reconstructive sliding grafts effectively addressed significant ankle instability in those who developed it.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Bone Grafting
Background:
- Partial fibula resection is utilized for autologous bone grafting.
- Grafting procedures can lead to donor site morbidity and functional deficits.
Purpose of the Study:
- To evaluate the long-term outcomes of fibula resection for grafting.
- To assess the incidence of ankle instability following fibula resection.
- To determine the efficacy of reconstructive surgery for post-resection ankle instability.
Main Methods:
- Retrospective review of 104 patients undergoing partial fibula resection for grafting.
- Assessment of patient-reported symptoms and clinical examination findings.
- Analysis of outcomes for patients developing ankle instability requiring revision surgery.
Main Results:
- Only 44 out of 104 patients (42.3%) remained completely symptom-free post-procedure.
- Six patients (5.8%) developed significant ankle instability.
- Reconstruction using a sliding graft successfully restored ankle stability in all six affected patients.
Conclusions:
- Partial fibula resection for grafting has a moderate success rate regarding symptom resolution.
- Ankle instability is a potential complication requiring further intervention.
- Sliding graft reconstruction is an effective treatment for fibula resection-induced ankle instability.