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Fibulare Bandplastik bei chronischer lateraler Instabilität am oberen Sprunggelenk

Operationstechnik nach Broström in der Modifikation nach Wille. Videobeitrag

Calcaneo-fibular ligament surgery for chronic lateral instability of the upper ankle

Broström technique with modification by Wille. Video article

  • Videobeitrag: Aktuelle Operationstechniken
  • Published:
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Zusammenfassung

Hintergrund

Eine akute Bandruptur des lateralen Bandkomplexes am oberen Sprunggelenk wird konservativ therapiert. Versagt diese und es kommt zu einer chronischen lateralen Instabilität am oberen Sprunggelenk, kann eine stabilisierende Operation ein gutes Ergebnis erzielen. Lässt die Bandqualität es zu, ist eine anatomische Rekonstruktion die beste Operationsmethode.

Methode

In unserem Videobeitrag zeigen wir die Möglichkeit einer neuen Ankerlage für die Raffung des Lig. fibulocalcaneare. In den bislang beschriebenen Modifikationen der Broström-Technik wurde das Band zur Raffung an der Fibulaspitze abgesetzt und reinseriert. Wir zeigen die Möglichkeit, das Band am Kalkaneus abzusetzen und dort über einen Anker zu reinserieren. Dies bietet den Vorteil, dass eine mögliche Luxation der Peronealsehnen vermieden werden kann.

Abstract

Background

An acute ligament rupture of the lateral ligament complex of the ankle joint is treated without surgery. Treatment failure may lead to a chronically unstable situation of the ankle joint, in which case surgery is an effective procedure for stabilizing the ruptured ligaments. Anatomical reconstruction is the best operative technique if the ligament tissue is of good quality.

Method

In our video we demonstrate a new possibility for the positioning of an anchor to tighten the calcaneo-fibular ligament. Modified Broström repairs are described in the literature in which the calcaneo-fibular ligament is released and reattached to the fibula to tighten it. We present the option to release the ligament at the calcaneus and reattach it using a suture anchor. This offers the advantage of preventing the possible dislocation of the peroneal tendons.

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Author information

Authors and Affiliations

  1. Universitätsklinik für Unfallchirurgie Innsbruck, Anichstrasse 35, 6020, Innsbruck, Österreich

    J. Kosiol & M. Wille

  2. Universitätsklinik für Orthopädie Innsbruck, Innsbruck, Österreich

    R. Biedermann

  3. Department für experimentelle Orthopädie, Universitätsklinik für Orthopädie Innsbruck, Innsbruck, Österreich

    D. Putzer

Authors
  1. J. Kosiol
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  2. M. Wille
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  3. D. Putzer
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  4. R. Biedermann
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Corresponding author

Correspondence to J. Kosiol.

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Interessenkonflikt

J. Kosiol, M. Wille, D. Putzer und R. Biedermann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Kosiol, J., Wille, M., Putzer, D. et al. Fibulare Bandplastik bei chronischer lateraler Instabilität am oberen Sprunggelenk. Orthopäde 44, 909–913 (2015). https://doi.org/10.1007/s00132-015-3168-y

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  • DOI: https://doi.org/10.1007/s00132-015-3168-y

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