Similar outcomes seen for repair vs reconstruction of lateral ankle ligaments
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Researchers who compared anatomic allograft reconstruction with lateral ankle repair for treatment of lateral ankle instability found similar benefits for the procedures, including high patient satisfaction and no revisions.
Researchers identified 61 patients who underwent repair and 25 patients who underwent anatomic allograft reconstruction for the anterior talofibular ligament alone or in combination with the calcaneofibular ligament. Investigators had patients complete a subjective questionnaire at a 2-year minimum follow-up. Outcomes were collected from the Foot and Ankle Disability Index (FADI), American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score, Lysolm score, WOMAC, SF-12 physical component and mental component scores, Tegner activity scale and patient satisfaction. At the time of surgery, surgical data and intraoperative results were recorded. Investigators noted 76 patients had a 2-year minimum follow-up, with a mean follow-up of 3 years.
Findings showed no significant differences between patients who underwent repair and patients who underwent reconstruction with regard to age and sex. Patients who underwent repair and patients who underwent reconstruction did not have significantly different FADI, AOFAS ankle-hindfoot, Lysholm, Tegner activity scale, patient satisfaction, WOMAC and SF-12 mental and physical component scores. None of the patients underwent revision lateral ligament procedures, according to researchers. ‒ by Monica Jaramillo
Disclosures: Matheny reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.