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Reconstruction of the Lateral Ligaments of the Ankle Using Semi-tendinosis Graft

2000; SAGE Publishing; Volume: 21; Issue: 5 Linguagem: Inglês

10.1177/107110070002100510

1944-7876

Roger Paterson, Bruce E. Cohen, Dean C. Taylor, Anastasia Elizabeth Bourne, Jonathan Black,

Sports injuries and prevention

Injury to the lateral ligaments of the ankle is one of the most common sports-related injuries. Although these injures generally resolve with non-operative treatment reconstruction of the lateral ligaments of the ankle is occasionally necessary. We report the surgical technique and result of reconstruction of the anterior talo-fibular ligament using a semi-tendinosis free graft in 26 patients with an average follow-up of 24 months. 81% of patients reported complete resolution or substantial improvement in instability, swelling and sharp pain. Episodes of functional instability persisted in five patients post operatively. No significant differences were noted between the operated and contra-lateral non-operated ankle in range of motion or uniaxial balance assessment. Kin-Com testing of hamstring strength showed no differences between sides. Short term results suggest that this ligament reconstruction provides good results without sacrifice of peroneal function and has minimal donor site morbidity.