Lateral ligamentous instability of the ankle: a method of surgical reconstruction by a modified Watson-Jones technique.
Forty-nine cases of lateral ligamentous instability of the ankle have been reviewed. Forty-one have been personally examined. Eight have been evaluated by questionnaire follow-up. The end results have been universally good. The results have been based on a subjective evaluation by the patient, 92% regarding the end results of the procedure to be excellent. In regard to function, 92% of the patients have been able to resume their preinjury activity. The evidence of instability of the ankle joint can be determined by preoperative x-ray examination. However, careful history and physical examination obviate the need for x-ray studies in most cases. Operative findings have confirmed our preoperative evaluation in all cases. The modification of the Watson-Jones procedure, using the peroneus longus, enables the operating surgeon use of a much greater tendon in reconstruction of the lateral ligamentous structures. No change in the function of the foot has been noted in the reported cases.
D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries; D000843:Ankle Joint; D001265:Athletic Injuries / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery*; D008297:Male; D008722:Methods; D011183:Postoperative Complications; D013178:Sports Medicine; D013710:Tendons / Q000601:surgery*