Chronic Lateral Ankle Instability: Surgical Management. 2020

Eric Ferkel, and Shawn Nguyen, and Cory Kwong
Southern California Orthopedic Institute, 6815 Noble Avenue, Suite 200, Van Nuys, CA 91405, USA. Electronic address: eferkel@scoi.com.

Surgical management for chronic lateral ankle ligament instability is useful when patients have failed nonoperative modalities. Open anatomic reconstruction is an effective method of stabilization. Ankle arthroscopy is a recommended to address intra-articular disorder before stabilization. An anatomic approach provides full range of motion, stability, and return to sport and activity. Allograft or suture tape augmentation can be useful for patients with generalized ligamentous laxity, patients with high body mass index, and elite athletes. Allograft reconstruction may be especially useful in revision procedures. Arthroscopic approach to lateral ankle ligament stabilization may provide good outcomes, with long-term data still limited.

UI MeSH Term Description Entries
D007593 Joint Instability Lack of stability of a joint or joint prosthesis. Hypermobility, Joint,Instability, Joint,Laxity, Joint,Hypermobilities, Joint,Instabilities, Joint,Joint Hypermobilities,Joint Hypermobility,Joint Instabilities,Joint Laxities,Joint Laxity,Laxities, Joint
D012008 Recurrence The return of a sign, symptom, or disease after a remission. Recrudescence,Relapse,Recrudescences,Recurrences,Relapses
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013180 Sprains and Strains A collective term for muscle and ligament injuries without dislocation or fracture. A sprain is a joint injury in which some of the fibers of a supporting ligament are ruptured but the continuity of the ligament remains intact. A strain is an overstretching or overexertion of some part of the musculature. Sprains,Strains,Sprain,Strain,Strains and Sprains
D016512 Ankle Injuries Harm or hurt to the ankle or ankle joint usually inflicted by an external source. Ankle Sprains,Injuries, Ankle,Syndesmotic Injuries,Ankle Injury,Ankle Sprain,Injuries, Syndesmotic,Injury, Ankle,Injury, Syndesmotic,Sprain, Ankle,Sprains, Ankle,Syndesmotic Injury
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D017844 Lateral Ligament, Ankle LATERAL LIGAMENTS of the ANKLE JOINT. It includes inferior tibiofibular ligaments. Ankle Lateral Ligament,Ligamentum Laterale Articulationis Talocruralis,Anterior Inferior Tibiofibular Ligament,Calcaneofibular Ligament,External Lateral Ligament,Internal Lateral Ankle Ligament,Lateral Collateral Ligament,Posterior Inferior Tibiofibular Ligament,Posterior Talofibular Ligament,Ankle Lateral Ligaments,Calcaneofibular Ligaments,Collateral Ligament, Lateral,Collateral Ligaments, Lateral,External Lateral Ligaments,Lateral Collateral Ligaments,Lateral Ligament, External,Lateral Ligaments, Ankle,Lateral Ligaments, External,Ligament, Ankle Lateral,Ligament, Calcaneofibular,Ligament, External Lateral,Ligament, Lateral Collateral,Ligament, Posterior Talofibular,Ligaments, Ankle Lateral,Ligaments, Calcaneofibular,Ligaments, External Lateral,Ligaments, Lateral Collateral,Ligaments, Posterior Talofibular,Posterior Talofibular Ligaments,Talofibular Ligament, Posterior,Talofibular Ligaments, Posterior
D019637 Orthopedic Procedures Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures. Orthopedic Surgery,Surgery, Orthopedic,Orthopedic Rehabilitation Surgery,Orthopedic Surgical Procedures,Orthopedic Procedure,Orthopedic Rehabilitation Surgeries,Orthopedic Surgeries,Orthopedic Surgical Procedure,Procedure, Orthopedic,Procedure, Orthopedic Surgical,Procedures, Orthopedic,Procedures, Orthopedic Surgical,Rehabilitation Surgeries, Orthopedic,Rehabilitation Surgery, Orthopedic,Surgeries, Orthopedic,Surgeries, Orthopedic Rehabilitation,Surgery, Orthopedic Rehabilitation,Surgical Procedure, Orthopedic,Surgical Procedures, Orthopedic

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