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Mini-Incision Technique for Lateral Ankle Ligament Repair in Chronic Instability

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Sports Injuries of the Foot and Ankle

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Abstract

The majority of ankle sprains are caused by an inversion mechanism, which usually involves the lateral ligament complex. The most used classification incorporates anatomical damage with patient’s symptoms and grades the injuries from I to III.

Generally, conservative management is preferred for the treatment of grade I and II ankle sprains to restore the mechanical joint stability through neuromuscular reprogramming, foot evertor muscles reinforcement, and muscular pre-activation.

However, if the patient fails to respond to conservative management after 6 months, a surgical stabilization is required.

Over the years, numerous surgical procedures have been reported for the treatment of the chronic ankle instability, but the Broström-Gould reconstruction technique is still considered the “gold standard.”

The mini-invasive lateral reefing technique described in this chapter shows excellent results comparing favorably to other open or arthroscopic approaches.

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Abbreviations

ATFL:

Anterior talofibular ligament

CFL:

Calcaneofibular ligament

FAAM:

Foot and ankle ability measure

MRI:

Magnetic resonance imaging

PTFL:

Posterior talofibular ligament

ROM:

Range of movement

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Author information

Authors and Affiliations

  1. Centre of Sports Traumatology, Koelliker Hospital, Torino, Italy

    Gian Luigi Canata & Valentina Casale

  2. Sports Traumatology Unit, Department of Knee Orthopedic, Humanitas Research Hospital, Milan, Italy

    Luca Pulici

  3. FC Internazionale Medical Staff, Milan, Italy

    Luca Pulici

Authors
  1. Gian Luigi Canata
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  2. Valentina Casale
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  3. Luca Pulici
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Editor information

Editors and Affiliations

  1. Centre of Sports Traumatology Koelliker Hospital, Torino, Italy

    Gian Luigi Canata

  2. Department of Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

  3. Department of Orthopedics, University of Colorado Hospital, Aurora, CO, USA

    Kenneth J. Hunt

  4. Department of Orthopedic Surgery, University of Amsterdam Academic Medical Center, Amsterdam Zuidoost, Noord-Holland, The Netherlands

    Gino M.M.J. Kerkhoffs

  5. Orthopaedics and Traumatology Unit, University Campus Bio medico, Rome, Italy

    Umile Giuseppe Longo

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Canata, G.L., Casale, V., Pulici, L. (2019). Mini-Incision Technique for Lateral Ankle Ligament Repair in Chronic Instability. In: Canata, G., d'Hooghe, P., Hunt, K., Kerkhoffs, G., Longo, U. (eds) Sports Injuries of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58704-1_5

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  • DOI: https://doi.org/10.1007/978-3-662-58704-1_5

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