Lateral ankle ligament reconstruction using the anterior half of the peroneus longus tendon.
OBJECTIVE
The purpose of this study was to assess the results of a novel surgical technique for the treatment of chronic lateral ankle instability with attenuated or deficient ligamentous tissue that the modified Broström procedure could not be performed. A lateral ankle ligament reconstruction using the anterior half of the peroneus longus tendon has been performed.


METHODS
Thirty-four consecutive patients treated with lateral ankle ligament reconstruction using anterior half of the peroneus longus tendon were enrolled. Median age at surgery was 24 years (range 19-46 years). The clinical and radiologic outcomes were evaluated preoperatively and at a median of 21 months (range 12-51 months) follow-up.


RESULTS
The Karlsson-Peterson ankle score significantly improved from 58.2 ± 10.9 points preoperatively to 83.9 ± 7.0 points at the last follow-up. Mechanical stability was achieved. The mean talar tilt angle significantly improved from 15.7° ± 3.5° preoperatively to 4.6° ± 1.7° at the last follow-up, and the mean anterior talar translation significantly improved from 7.3 ± 2.6 mm preoperatively to 4.1 ± 1.7 mm at the last follow-up. Fifteen patients (52%) were very satisfied with the results, nine patients (31%) were satisfied, four patients (14%) were fair, and one patient (3%) was dissatisfied with the results.


CONCLUSIONS
Lateral ankle ligament reconstruction using the anterior half of the peroneus longus tendon can be a surgical option for chronic lateral ankle instability with attenuated or deficient ligaments.


METHODS
Case-series, Level IV.
Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University, 948-1, Dalim-1dong, Youngdeungpo-gu, Seoul, 150-950, South Korea, hyongnyun@naver.com.
Hyong Nyun
HN
Kim
June Young
JY
Jeon
Quanyu
Q
Dong
Kyu Cheol
KC
Noh
Kook Jin
KJ
Chung
Hong Kyun
HK
Kim
Ji Hyo
JH
Hwang
Yong Wook
YW
Park
D000328:Adult; D000843:Ankle Joint / Q000601:surgery*; D064592:Autografts; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D017844:Lateral Ligament, Ankle / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D013710:Tendons / Q000637:transplantation*; D055815:Young Adult