title: Reconstruction of the lateral ligaments of the ankle using a regional periosteal flap.
abstract: We have treated 94 patients with chronic instability of the lateral side of the ankle by reconstruction of the ligaments with local periosteal tissue. We reviewed 90 cases after a mean follow-up of 2.8 years (2 to 9) using a questionnaire, clinical examination and radiography. The results on a 100-point ankle score indicated that 81% had a good or excellent result. The periosteal flap-replacement technique allows anatomical reconstruction and does not sacrifice other ligaments or tendons in the foot.
authors.affiliation: Department of Orthopaedics, Hannover Medical School, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Rudert
authors.forename: N
authors.initials: N
authors.lastname: Wülker
authors.forename: C J
authors.initials: CJ
authors.lastname: Wirth
mesh_terms: D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery; D005360:Fibula; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000601:surgery*; D008023:Ligaments, Articular / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D010521:Periosteum / Q000637:transplantation*; D011859:Radiography; D012008:Recurrence; D013524:Surgical Flaps / Q000379:methods* / Q000706:statistics & numerical data