Salvage reconstruction for lateral ankle instability using a tendon allograft Journal Article
| Authors: | Su, E. P.; Healey, J. H. |
| Article Title: | Salvage reconstruction for lateral ankle instability using a tendon allograft |
| Abstract: | Lateral ligamentous instability may result after an inversion injury to the ankle. Although it generally responds well to nonsurgical treatment, recurrent cases may warrant surgical intervention. There is extensive literature detailing various procedures designed to restore lateral ankle stability. We describe a case in which a patient had a distal fibulectomy for multiple symptomatic osteochondromas, with reconstruction of the lateral ligament complex using peroneus brevis tendon. The patient subsequently disrupted this surgical construct with a severe inversion injury and had recurrent lateral ankle instability. The lateral ligament complex then was reconstructed using a tibiotalar bone-tendon allograft directed to counteract inversion forces. Fourteen years after the procedure, the patient remains satisfied, with a painless, stable ankle. The described technique provides a salvage reconstruction of the lateral ligament complex using allograft tissue, in the unique setting of an absent fibula and deficient peroneus brevis tendon. |
| Keywords: | adult; treatment outcome; bone neoplasms; patient satisfaction; limb salvage; bone transplantation; transplantation, homologous; case report; salvage therapy; treatment indication; pain; recurrence; recurrent disease; arthroplasty; tibia; fibula; osteotomy; ankle joint; joint instability; osteochondroma; range of motion, articular; tendons; ankle instability; humans; human; female; priority journal; article; ankle injury; ankle lateral ligament; leg muscle; peroneous brevis muscle; tendon graft; ankle injuries; exostoses, multiple hereditary; lateral ligament, ankle; tendon transfer |
| Journal Title: | Clinical Orthopaedics and Related Research |
| Volume: | 415 |
| ISSN: | 0009-921X |
| Publisher: | Springer |
| Date Published: | 2003-10-01 |
| Start Page: | 232 |
| End Page: | 238 |
| Language: | English |
| PUBMED: | 14612650 |
| PROVIDER: | scopus |
| DOI: | 10.1097/01.blo.0000092976.12414.b0 |
| DOI/URL: | |
| Notes: | Export Date: 12 September 2014 -- Source: Scopus |
