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Hybrid ankle ligament reconstruction technique shows good results at 1-year follow-up
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Researchers from the Hospital for Special Surgery evaluated a hybrid technique using anatomic and checkrein tenodesis reconstruction techniques for treatment of chronic lateral ligament instability in athletes and report good results at 1-year follow-up, according to this study.
“This hybrid anatomic lateral ligament reconstruction technique using a peroneus longus autograft to substitute the native anterior talofibular ligament provides an alternative to anatomic reconstruction when direct repair is not possible,” John G. Kennedy, MD, MCh, MMSc, FRCS (Orth), and colleagues from the Hospital for Special Surgery in New York, stated in the study abstract.
Kennedy performed the hybrid procedure in 57 patients with a mean age of 28 years and measured them preoperatively and postoperatively with the Foot and Ankle Outcome Score (FAOS) and SF-12 outcome score, according to the abstract. Patient FOAS increased from 58 points preoperatively to 89 points postoperatively; the SF-12 score similarly improved postoperatively from preoperative levels, from 48 points to 80 points, according to the abstract.
Although all patients had mechanically stable ankles, 7 patients reported functionally unstable ankles, which significantly influenced their return to sport at preoperative levels, Kennedy and colleagues noted.
Disclosure: Kennedy has no relevant financial disclosures.
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