scholarly journals All-Inside Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Anterolateral Ankle Instability Using a Knotless Suture Anchor, Allowing for Tension Adjustment

2021 ◽  
Author(s):  
Sung Hyun Lee ◽  
Je Heon Yang
Keyword(s):  
Suture Anchor ◽  
Ankle Instability ◽  
Anterior Talofibular Ligament ◽  
Ligament Repair ◽  
Knotless Suture Anchor

All-inside Arthroscopic Lateral Collateral Ligament Repair for Ankle Instability With a Knotless Suture Anchor Technique

2013 ◽  
Vol 34 (12) ◽  
pp. 1701-1709 ◽  
Author(s):  
Jordi Vega ◽  
Pau Golanó ◽  
Alexandro Pellegrino ◽  
Eduard Rabat ◽  
Fernando Peña
Keyword(s):  
Suture Anchor ◽  
Ankle Instability ◽  
Lateral Collateral Ligament ◽  
Ligament Repair ◽  
Collateral Ligament ◽  
Knotless Suture Anchor

scholarly journals Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Anterolateral Ankle Instability

2020 ◽  
Vol 9 (1) ◽  
pp. e29-e33
Author(s):  
Konrad Malinowski ◽  
Jan Paszkowski ◽  
Adrian Góralczyk ◽  
Eric Giza ◽  
Krzysztof Hermanowicz
Keyword(s):  
Ankle Instability ◽  
Anterior Talofibular Ligament ◽  
Ligament Repair

scholarly journals A new arthroscopic BrostrÖm procedure for chronic lateral ankle instability

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0051
Author(s):  
Hailin Xu
Keyword(s):  
Suture Anchor ◽  
Ankle Instability ◽  
Clinical Success Rate ◽  
Anterior Talofibular Ligament ◽  
Neurologic Symptom ◽  
Lateral Ankle ◽  
Chronic Lateral Ankle Instability ◽  
Lateral Ankle Instability ◽  
Anterolateral Portal

Category: Arthroscopy Introduction/Purpose: Chronic lateral ankle instability is usually progressed from previous lateral ankle sprain which is not treated properly. Although patients with acute lateral ankle ligament injury are often managed successfully with conservative treatment, approximately 20%-40% will go on developing symptomatic chronic recurrent lateral ankle instability. Several procedures have been introduced to address these patients including open or arthroscopic techniques, the most common of which is the BrostrÖm procedure. The aim of this study was to describe a new outside-in arthroscopic BrostrÖm procedure and its results for treating patients with chronic lateral ankle instability. Methods: Of the 32 patients that were treated, 18 males and 14 females, and aged from 15~57 years (mean 27.8 years). All patients were symptomatic with a combination of recurrent ankle sprains, giving way and avoidance of sports, as well as presented positive anterior drawer test in the physical examination. The history of all patients was over 6 months and conservative treatments were not enough to relieve the symptoms. Standard anteromedial and anterolateral portal was established. Using a suture anchor (2.9 mm Lupine BR, preloaded with double orthocord sutures, DePuy Synthes) and a cannulated needle as a suture passer, anterior talofibular ligament repair was achieved with an outside-in technique. Follow-up was 6~14 months (mean 8.7). Results: Subjective instability and mechanical instability were all significantly improved. No recurrences of ankle instability were reported. The mean AOFAS Ankle-Hindfoot score increased from 74 preoperatively to 95 at final follow-up. 2 patients reported superficial peroneal nerve (SPN) irritation symptom postoperatively but only 1 persisted. 2 patients complained mild pain anteroinferior to the lateral ankle. Conclusion: The arthroscopic outside-in BrostrÖm procedure with a single suture anchor was a safe, effective and reproducible technique for chronic lateral ankle instability. The ankle stability resumed with high clinical success rate. The main complication of this procedure was injury to SPN, which crossed the area of repair. The transient neurologic symptom may be related to stretch injury when establishing the anterolateral portal, while the persistent one may be due to nerve entrapment.

scholarly journals A Novel Technique of Arthroscopic Ankle Lateral Ligament Repair Using a Knotless Suture Anchor

2020 ◽  
Vol 8 (11) ◽  
pp. 232596712096207
Author(s):  
Noriyuki Kanzaki ◽  
Nobuaki Chinzei ◽  
Takahiro Yamashita ◽  
Tsukasa Kumai ◽  
Ryosuke Kuroda
Keyword(s):  
Suture Anchor ◽  
Case Series ◽  
Well Being ◽  
Clinical Results ◽  
Lateral Ligament ◽  
Ligament Repair ◽  
Novel Technique ◽  
Patient Reported ◽  
Anterolateral Portal ◽  
Knotless Suture Anchor

Background: Although arthroscopic lateral ligament repair (ALLR) with suture anchors for chronic lateral ankle instability has become widely accepted, some complications have been reported as well. Establishment of a new technique is essential for better clinical outcomes after ALLR. Purpose To report a novel technique and good clinical results of ALLR using a knotless suture anchor. Study Design: Case series; Level of evidence, 4. Methods: We examined 30 patients (16 men and 14 women) who underwent ALLR. The mean age of the patients was 30.0 years, and the average period of postoperative monitoring was 21 months. The Japanese Society for Surgery of the Foot (JSSF) ankle-hindfoot scale was used for clinical evaluation postoperatively, and the Self-Administered Foot Evaluation Questionnaire (SAFE-Q) for patient-reported results. Surgical complications were also examined. Results: The JSSF ankle-hindfoot scale showed a significant improvement from preoperatively to follow-up (from 72.1 to 96.1; P < 0.001), and the SAFE-Q was significantly improved in all subscales (pain and pain-related, physical function and daily living, social function, shoe-related, and general health and well-being; P < 0.004 for all). Complications included residual joint pain due to remaining osteophytes in 1 case, scar pain of the accessory anterolateral portal in 2 cases, and positive Tinel sign indicative of superficial peroneal nerve irritation at the anterolateral portal in 1 case. Conclusion: The clinical results of the novel ALLR technique were overall satisfactory. Knot-related complications, one of the main reasons for postoperative complications, were reduced by using a knotless suture anchor.

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