Arthroscopic anatomical reconstruction of the lateral ankle ligaments: A technical simplification.
Anatomical reconstruction of the lateral ankle ligaments has become a pivotal component of the treatment strategy for chronic ankle instability. The recently described arthroscopic version of this procedure is indispensable to ensure that concomitant lesions are appropriately managed, yet remains technically demanding. Here, we describe a simplified variant involving percutaneous creation of the calcaneal tunnel for the distal attachment of the calcaneo-fibular ligament. The rationale for this technical stratagem was provided by a preliminary cadaver study that demonstrated a correlation between the lateral malleolus and the distal footprint of the calcaneo-fibular ligament. The main objectives are simplification of the operative technique and decreased injury to tissues whose function is crucial to the recovery of proprioception.
Clinique Brétéché, 3, rue de la Béraudière, 44000 Nantes, France; Polyclinique de l'Atlantique, Avenue Claude Bernard, 44800 Saint-Herblain, France. Electronic address: ronnybask@yahoo.fr.
R
R
Lopes
Centre Hospitalier Universitaire de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
C
C
Decante
Centre Hospitalier Universitaire de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
L
L
Geffroy
Centre Hospitalier Universitaire de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
K
K
Brulefert
Centre Hospitalier Universitaire de Nantes, 1, place Alexis-Ricordeau, 44000 Nantes, France.
T
T
Noailles
D000843:Ankle Joint / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D002111:Calcaneus / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D017844:Lateral Ligament, Ankle / Q000601:surgery*; D009984:Orthopedic Fixation Devices; D013710:Tendons / Q000637:transplantation
Anatomical ligament reconstruction; Ankle; Arthroscopy; Calcaneo-fibular ligament