title: Efficacy and Safety of Split Peroneal Tendon Lateral Ankle Stabilization.
abstract: Chronic lateral ankle instability is a common condition. Split peroneal tendon lateral ankle stabilization, a modification of the Chrisman-Snook procedure, is biomechanically stable and often used for severe and/or recurrent chronic lateral ankle instability. The purpose of the present study was to evaluate the efficacy and safety of this technique. Specifically, the midterm recurrence of instability and postoperative complications, such as stiffness, neurologic pain, and wound healing complications, were evaluated. We evaluated 30 consecutive procedures with a minimal follow-up period of 1 year. The mean follow-up period was 25 ± 13 (median 19, range 13 to 62) months. Five patients (17%) developed recurrent ankle instability, of whom 4 underwent revision surgery. One superficial infection and two wound disruptions developed. Two patients experienced stiffness and eight (27%) surgically induced neurologic complaints, such as sural neuritis. Finally, 2 patients developed complex regional pain syndrome.
authors.affiliation: Associate Professor, Department of Surgery, Texas A&M Health Science Center, College of Medicine, Temple, TX; Chief, Section of Podiatry, Surgical Services, Central Texas Veterans Affairs Health Care System, Temple, TX; Staff, Baylor Scott and White Health Care System, Temple, TX. Electronic address: shibuya@medicine.tamhsc.edu.
authors.forename: Naohiro
authors.initials: N
authors.lastname: Shibuya
authors.affiliation: Third-Year Resident, Scott and White Memorial Hospital, Temple, TX.
authors.forename: D Issac
authors.initials: DI
authors.lastname: Bazán
authors.affiliation: Second-Year Resident, Scott and White Memorial Hospital, Temple, TX.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Evans
authors.affiliation: Clinical Assistant Professor, Department of Surgery, Texas A&M Health Science Center, College of Medicine, Bryan, TX; Staff, Section of Podiatry, Department of Surgery, Central Texas Veterans Affairs Health Care System, Temple, TX.
authors.forename: Monica R
authors.initials: MR
authors.lastname: Agarwal
authors.affiliation: Assistant Professor, Department Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Jupiter
mesh_terms: D000328:Adult; D016512:Ankle Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D016059:Range of Motion, Articular / Q000502:physiology*; D012008:Recurrence; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D013708:Tendon Injuries / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D013709:Tendon Transfer / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Broström; Chrisman-Snook; ankle sprain; recurrence; surgery