AI Article Synopsis

  • Arthroscopic lateral ankle ligament reconstruction is a technique that faces challenges due to its complexity and risks of injury to surrounding tissues.
  • The surgery involves navigating extra-articular ligaments and requires careful dissection to avoid harming tissue healing, while making it difficult to safely create bone tunnels without damaging cartilage.
  • The newly designed technique addresses these issues by preserving ligament remnants and effectively managing tension, leading to minor complications in clinical use.

Article Abstract

Arthroscopic lateral ankle ligament reconstruction has been recently advocated. But this technique has not been popularized because of the technical complexity and potential iatrogenic injury. Because the talocalcaneal and calcaneofibular ligaments are extra-articular structures, how to efficiently view and address them is a difficult task. Limited dissection outside the capsule to form a working space is required, but aggressive dissection is harmful for tissue healing although it is helpful for visualization and instrumentation. Because almost the entire talar body is covered by articular cartilage, it is very difficult to safely make a bone tunnel without damaging the cartilage. The remnants of the lateral ankle ligament have proprioceptive sensors that are important for functional stability, but it is difficult to perform anatomical reconstruction arthroscopically while preserving them because of the narrow working space. Furthermore, how to properly tension the reconstructed ligaments in such a narrow working space is also a very difficult task. We have designed a technique that preserves the remnants of lateral ankle ligaments, and all of the above-mentioned problems have been successfully addressed. We have used this technique clinically, and only minor complications occurred.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5495154PMC
http://dx.doi.org/10.1016/j.eats.2016.11.013DOI Listing

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