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Plastie ligamentaire pour instabilité chronique externe de la cheville

Surgical reinforcement of the ligament for chronic lateral instability of the ankle

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Summary

Ten patients with chronic lateral instability of the ankle have been treated by operation using a homograft of preserved skin and scar tissue to reinforce the lateral ligament complex. The technique is simple and cheap. We have analysed the functional stability of the ankles after operation by E. M. G. and Cybex studies of the appropriate muscle groups when standing on an unstable platform and during normal gait. The passive tension of the ligaments is of greater value in stabilising the ankle than active contraction of the muscles. The peroneus brevis has an important action in opposing varus stress, and should be preserved rather than used for ligament substitution.

Résumé

Dix patients; opérés pour une instabilité chronique gênante de la cheville, ont été contrôlés. La technique chirurgicale utilisée est simple et peu coûteuse: elle reconstitue un cadre externe solide grâce à un greffon de peau homogène conservé. Une analyse cinésiologique comparant les résultats de chaque opéré et d'un groupe témoin fait ressortir deux éléments:

  • -La stabilité passive des ligaments est supérieure à celle active conférée par les muscles.

  • -Le muscle peroneus brevis (court péronier) a une action anti-varus prépondérante.

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Authors and Affiliations

  1. Clinique d'Orthopédie et de Chirurgie de l'Appareil Moteur, Département de Chirurgie, Hôpital Cantonal Universitaire, CH-1211, Genève 4, Suisse

    D. Fritschy & J. C. de Reynier

  2. Laboratoire de Myocinésigraphie, Clinique d'Orthopédie et de Chirurgie de l'Appareil Moteur, Hôpital Cantonal Universitaire, CH-1211, Genève 4, Suisse

    Y. Blanc

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  1. D. Fritschy
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  2. J. C. de Reynier
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  3. Y. Blanc
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Fritschy, D., de Reynier, J.C. & Blanc, Y. Plastie ligamentaire pour instabilité chronique externe de la cheville. International Orthopaedics 12, 239–247 (1988). https://doi.org/10.1007/BF00547170

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