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The Journal of Bone and Joint Surgery, Vol 70, Issue 4 581-588, Copyright © 1988 by Journal of Bone and Joint Surgery, Inc
Reconstruction of the lateral ligaments of the ankle for chronic lateral instability
J Karlsson, T Bergsten, O Lansinger and L Peterson
Department of Orthopaedics, East Hospital, Goteborg, Sweden.
One hundred and seventy-six patients (180 ankles) who had chronic lateral
instability of the ankle were treated with transection and imbrication of
the anterior talofibular ligament. Sixty-eight of the ankles had
reconstruction of the calcaneofibular ligament as well. Of the 176
patients, 148 (152 ankles) were available for follow-up, which ranged from
two to twelve years (mean, six years). An excellent or good result was
achieved in 132 ankles, all of which had improved mechanical stability as
measured radiographically. Sixteen of the twenty ankles that had an
unsatisfactory result were in patients who had generalized hypermobility of
the joints or long-standing local ligamentous insufficiency, or both, or
who had had a previous operation. Reconstruction of both ligaments gave a
better functional result than when only the anterior talofibular ligament
was reconstructed.
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