New method for reconstruction in lateral ankle instability

GR Bauer Department of Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia 19170, USA.

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Ankle instability is a frequent sequel following inversion sprain mechanisms of injury and has been estimated as occurring in approximately 20% of patients, regardless of the type of initial treatment. Mismanagement and undertreatment of this common injury contribute to the development of chronic instability symptoms with resultant tendencies toward reinjury. Loss of anatomical integrity of the injured ligamentous structures, proprioceptive deficits, or superimposed varus structural aberrations may all contribute to the chronicity of this condition. Surgical reconstruction of the insufficient ligaments can be accomplished through a variety of methods to restore stability. The more popular procedures currently being performed will be critiqued, and a new variant will be suggested that reduplicates the injured collateral ligaments more anatomically and reduces the technical complications inherent to operative procedures of this nature.