Abstract
Purpose
The purpose of our study is to evaluate the clinical results of anatomical reconstruction of the lateral ligaments with semitendinosus allograft.
Methods
Thirty-six patients with chronic lateral instability underwent anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score (AOFAS score) and the Karlsson score were used to evaluate the clinical results before and after surgery.
Results
A total of 35 patients (97.2 %) (36 ankles) were followed up for a mean of 37.9 months. The mean AOFAS score improved from 42.3 ± 4.9 points preoperatively to 90.4 ± 6.7 postoperatively. The mean Karlsson score improved from 38.5 ± 3.2 preoperatively to 90.1 ± 7.8 postoperatively.
Conclusions
Anatomical reconstruction of the lateral ligaments with semitendinosus allograft achieves a satisfactory surgical outcome for chronic ankle instability.
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References
Lassiter TE Jr, Malone TR, Garrett WE Jr (1989) Injury to the lateral ligaments of the ankle. Orthop Clin North Am 20:629–640
McConkey JP (1987) Ankle sprains, consequences and mimics. Med Sport Sci 23:39–55
MacAuley D (1999) Ankle injuries: same joint, different sports. Med Sci Sports Exerc 31:S409–S411
Jackson W, McGarvey W (2006) Update on the treatment of chronic ankle instability and syndesmotic injuries. Curr Opin Orthop 17:97–102
Karlsson J, Lansinger O (1993) Chronic lateral instability of the ankle in athletes. Sports Med 16:355–365
Baumhauer JF, O’Brien T (2002) Surgical considerations in the treatment of ankle instability. J Athl Train 37:458–462
Carey JL, Dunn WR, Dahm DL, Zeger SL, Spindler KP (2009) A systematic review of anterior cruciate ligament reconstruction with autograft compared with allograft. J Bone Joint Surg Am 91:2242–2250
Caprio A, Oliva F, Treia F, Maffulli N (2006) Reconstruction of the lateral ankle ligaments with allograft in patients with chronic ankle instability. Foot Ankle Clin 11:597–605
Frost SC, Amendola A (1999) Is stress radiography necessary in the diagnosis of acute or chronic ankle instability? Clin J Sport Med 9:40–45
Beighton P, Solomon L, Soskolne CL (1973) Articular mobility in an African population. Ann Rheum Dis 32:413–418
Hua Y, Chen S, Li Y, Chen J, Li H (2010) Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms. Arthroscopy 26:524–528
van den Bekerom MP, Oostra RJ, Alvarez PG, van Dijk CN (2008) The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat 21:619–626
Fanelli GC, Tomaszewski DJ (2007) Allograft use in the treatment of the multiple ligament injured knee. Sports Med Arthrosc 15:139–148
Sikka RS, Narvy SJ, Vangsness CT Jr (2011) Anterior cruciate ligament allograft surgery: underreporting of graft source, graft processing, and donor age. Am J Sports Med 39:649–655
Horibe S, Shino K, Taga I, Inoue M, Ono K (1991) Reconstruction of lateral ligaments of the ankle with allogeneic tendon grafts. J Bone Joint Surg Br 73:802–805
Nakata K, Shino K, Horibe S, Natsu-ume T, Mae T, Ochi T (2000) Reconstruction of the lateral ligaments of the ankle using solvent-dried and gamma-irradiated allogeneic fascia lata. J Bone Joint Surg Br 82:579–582
Su EP, Healey JH (2003) Salvage reconstruction for lateral ankle instability using a tendon allograft. Clin Orthop Relat Res 415:232–238
Jung HG, Kim TH, Park JY, Bae EJ (2011) Anatomic reconstruction of the anterior talofibular and calcaneofibular ligaments using a semitendinosus tendon allograft and interference screws. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-011-1666-y
Burks RT, Morgan J (1994) Anatomy of the lateral ankle ligaments. Am J Sports Med 22:72–77
Pagenstert GI, Valderrabano V, Hintermann B (2005) Lateral ankle ligament reconstruction with free plantaris tendon graft. Tech Foot Ankle Surg 4:104–112
Sugimoto K, Takakura Y, Kumai T, Iwai M, Tanaka Y (2002) Reconstruction of the lateral ankle ligaments with bone-patellar tendon graft in patients with chronic ankle instability: a preliminary report. Am J Sports Med 30:340–346
Takao M, Oae K, Uchio Y, Ochi M, Yamamoto H (2005) Anatomical reconstruction of the lateral ligaments of the ankle with a gracilis autograft: a new technique using an interference fit anchoring system. Am J Sports Med 33:814–823
Ahn JH, Choy WS, Kim HY (2011) Reconstruction of the lateral ankle ligament with a long extensor tendon graft of the fourth toe. Am J Sports Med 39:637–644
Bahr R, Pena F, Shine J, Lew WD, Tyrdal S, Engebretsen L (1997) Biomechanics of ankle ligament reconstruction. An in vitro comparison of the Broström repair, Watson-Jones reconstruction, and a new anatomic reconstruction technique. Am J Sports Med 25:424–432
Muramatsu K, Hachiya Y, Izawa H (2008) Serial evaluation of human anterior cruciate ligament grafts by contrast-enhanced magnetic resonance imaging: comparison of allografts and autografts. Arthroscopy 24:1038–1044
Malinin TI, Levitt RL, Bashore C, Temple HT, Mnaymneh W (2002) A study of retrieved allografts used to replace anterior cruciate ligaments. Arthroscopy 18:163–170
Horibe S, Shino K, Nagano J, Nakamura H, Tanaka M, Ono K (1990) Replacing the medial collateral ligament with an allogenic tendon graft. An experimental canine study. J Bone Joint Surg Br 72:1044–1049
Barrett GR, Luber K, Replogle WH, Manley JL (2010) Allograft anterior cruciate ligament reconstruction in the young, active patient: Tegner activity level and failure rate. Arthroscopy 26:1593–1601
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The research was supported by the National Natural Science Foundation of China (Grant No. 81101391)
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Hua, Y., Chen, S., Jin, Y. et al. Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. International Orthopaedics (SICOT) 36, 2027–2031 (2012). https://doi.org/10.1007/s00264-012-1577-7
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DOI: https://doi.org/10.1007/s00264-012-1577-7