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Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability

  • ANKLE
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Anatomic reconstruction of the anterior talofibular ligament and calcaneofibular ligament is a valid treatment of chronic hindfoot instability. The purpose of this study was to investigate the outcomes of this procedure performed by an all-inside endoscopic technique.

Methods

This study is a retrospective evaluation of a prospective database. Subjects were all patients who underwent an endoscopic lateral ligament reconstruction between 2013 and 2016. All patients had symptoms of ankle instability with positive manual stress testing and failed nonoperative treatment during at least 6 months. At final follow-up the outcome was assessed using the visual analogue score (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score and Karlsson–Peterson scores.

Results

After an average follow-up of 31.5 ± 6.9 months, all patients reported significant improvement compared to their preoperative status. The preoperative AOFAS score improved from 76.4 ± 15 to 94.7 ± 11.7 postoperatively (p = 0.0001). The preoperative Karlsson–Peterson score increased from 73.0 ± 16.0 to 93.7 ± 10.6 postoperatively (p = 0.0001). The VAS score improved from 1.9 ± 2.5 to 0.8 ± 1.7 (p < 0.001). Two patients had complaints of recurrent instability.

Conclusion

Endoscopic ligament reconstruction for chronic lateral ankle instability is a safe procedure and produces good clinical results with minimal complications. In addition, the endoscopic approach allows an assessment of the ankle joint and treatment of associated intra-articular lesions.

Level of evidence

II.

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Author information

Authors and Affiliations

  1. Orthopaedic Department, AZ Groeninge, President Kennedylaan 4, 8500, Kortrijk, Belgium

    Frederick Michels

  2. GRECMIP-MIFAS (Groupe de Recherche et d’Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Mérignac, France

    Guillaume Cordier, Miki Dalmau-Pastor & Frederick Michels

  3. Orthopaedic Department, Mérignac Sports Clinic, 2 Rue Georges Negrevergne, 33700, Mérignac, France

    Guillaume Cordier & Jordan Ovigue

  4. Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine, University of Barcelona, Barcelona, Spain

    Miki Dalmau-Pastor

  5. Vilamèdic Medical Center, Santa Coloma de Gramenet, Barcelona, Spain

    Miki Dalmau-Pastor

Authors
  1. Guillaume Cordier
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  2. Jordan Ovigue
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  3. Miki Dalmau-Pastor
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  4. Frederick Michels
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Corresponding author

Correspondence to Frederick Michels.

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The authors declare that they have no conflict of interest.

Funding

No funding was received for this study.

Ethical approval

This study received Ethical approval by the Ethics and Research Committee of Clinique du Sport, Bordeaux-Merignac, France, (N° 09.2017.13).

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Cordier, G., Ovigue, J., Dalmau-Pastor, M. et al. Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability. Knee Surg Sports Traumatol Arthrosc 28, 86–92 (2020). https://doi.org/10.1007/s00167-019-05793-9

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  • DOI: https://doi.org/10.1007/s00167-019-05793-9

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