title: Clinical and functional outcome after anatomic and nonanatomic ankle ligament reconstruction: Evans tenodesis versus periosteal flap.
abstract: The present study investigated the effects of two different surgical procedures for the treatment of chronic ankle instability. Ten patients treated with an anatomic reconstruction using a periosteal flap were compared with a second group that received an Evans tenodesis. All patients were evaluated before and after surgery with clinical and radiographic examinations as well as dynamic pedobarography. Patient satisfaction and radiographic and functional results were comparable in both groups and revealed a good restoration of joint stability and gait symmetry. Our results indicate that both methods of ankle ligament reconstruction achieve a comparable clinical and functional outcome within 1 year after surgery.
authors.affiliation: Department of Orthopedics, University of Münster, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Rosenbaum
authors.forename: M
authors.initials: M
authors.lastname: Engelhardt
authors.forename: H P
authors.initials: HP
authors.lastname: Becker
authors.forename: L
authors.initials: L
authors.lastname: Claes
authors.forename: H
authors.initials: H
authors.lastname: Gerngross
mesh_terms: D000328:Adult; D000843:Ankle Joint; D002908:Chronic Disease; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D007866:Leg; D008023:Ligaments, Articular / Q000601:surgery*; D008297:Male; D010521:Periosteum; D013524:Surgical Flaps; D013710:Tendons / Q000601:surgery*; D016896:Treatment Outcome