Guillaume Cordier1,2, Jordan Ovigue2, Miki Dalmau-Pastor1,3,4, Frederick Michels5,6. 1. GRECMIP-MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Mérignac, France. 2. Orthopaedic Department, Mérignac Sports Clinic, 2 Rue Georges Negrevergne, 33700, Mérignac, France. 3. Human Anatomy Unit, Department of Pathology and Experimental Therapeutics, School of Medicine, University of Barcelona, Barcelona, Spain. 4. Vilamèdic Medical Center, Santa Coloma de Gramenet, Barcelona, Spain. 5. Orthopaedic Department, AZ Groeninge, President Kennedylaan 4, 8500, Kortrijk, Belgium. frederick_michels@hotmail.com. 6. GRECMIP-MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Mérignac, France. frederick_michels@hotmail.com.
Abstract
PURPOSE: Anatomic reconstruction of the anterior talofibular ligament and calcaneofibular ligament is a valid treatment of chronic hindfoot instability. The purpose of this study was to investigate the outcomes of this procedure performed by an all-inside endoscopic technique. METHODS: This study is a retrospective evaluation of a prospective database. Subjects were all patients who underwent an endoscopic lateral ligament reconstruction between 2013 and 2016. All patients had symptoms of ankle instability with positive manual stress testing and failed nonoperative treatment during at least 6 months. At final follow-up the outcome was assessed using the visual analogue score (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score and Karlsson-Peterson scores. RESULTS: After an average follow-up of 31.5 ± 6.9 months, all patients reported significant improvement compared to their preoperative status. The preoperative AOFAS score improved from 76.4 ± 15 to 94.7 ± 11.7 postoperatively (p = 0.0001). The preoperative Karlsson-Peterson score increased from 73.0 ± 16.0 to 93.7 ± 10.6 postoperatively (p = 0.0001). The VAS score improved from 1.9 ± 2.5 to 0.8 ± 1.7 (p < 0.001). Two patients had complaints of recurrent instability. CONCLUSION: Endoscopic ligament reconstruction for chronic lateral ankle instability is a safe procedure and produces good clinical results with minimal complications. In addition, the endoscopic approach allows an assessment of the ankle joint and treatment of associated intra-articular lesions. LEVEL OF EVIDENCE: II.
PURPOSE: Anatomic reconstruction of the anterior talofibular ligament and calcaneofibular ligament is a valid treatment of chronic hindfoot instability. The purpose of this study was to investigate the outcomes of this procedure performed by an all-inside endoscopic technique. METHODS: This study is a retrospective evaluation of a prospective database. Subjects were all patients who underwent an endoscopic lateral ligament reconstruction between 2013 and 2016. All patients had symptoms of ankle instability with positive manual stress testing and failed nonoperative treatment during at least 6 months. At final follow-up the outcome was assessed using the visual analogue score (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score and Karlsson-Peterson scores. RESULTS: After an average follow-up of 31.5 ± 6.9 months, all patients reported significant improvement compared to their preoperative status. The preoperative AOFAS score improved from 76.4 ± 15 to 94.7 ± 11.7 postoperatively (p = 0.0001). The preoperative Karlsson-Peterson score increased from 73.0 ± 16.0 to 93.7 ± 10.6 postoperatively (p = 0.0001). The VAS score improved from 1.9 ± 2.5 to 0.8 ± 1.7 (p < 0.001). Two patients had complaints of recurrent instability. CONCLUSION: Endoscopic ligament reconstruction for chronic lateral ankle instability is a safe procedure and produces good clinical results with minimal complications. In addition, the endoscopic approach allows an assessment of the ankle joint and treatment of associated intra-articular lesions. LEVEL OF EVIDENCE: II.
Authors: Ronny Lopes; Michael Andrieu; Guillaume Cordier; François Molinier; Jonathan Benoist; Fabrice Colin; André Thès; Marc Elkaïm; Olivier Boniface; Stéphane Guillo; Thomas Bauer Journal: Orthop Traumatol Surg Res Date: 2018-09-21 Impact factor: 2.256
Authors: Seung Do Cha; Hyoung Soo Kim; Soo Tai Chung; Jeong Hyun Yoo; Jai Hyung Park; Joo Hak Kim; Jae Won Hyung Journal: Clin Orthop Surg Date: 2012-11-16
Authors: Da Hye Kong; Gun Sang Lee; So Hee Park; Min Cheol Joo; Sung Hyun Lee; Min Su Kim Journal: Biomed Res Int Date: 2021-01-28 Impact factor: 3.411