Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide

Foot & ankle surgery (New York, N.Y.) Pub Date : 2025-01-08 DOI:10.1016/j.fastrc.2025.100466

Madison Leyk DPM (Chief Resident) , Scott Jorgensen DPM, FACFAS (Attending Physician) , Kristen Brett DPM, AACFAS (Attending Physician)

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Abstract

The current literature offers reconstruction options after a failed Brostrom-Gould but fails to demonstrate a durable option with multiple points of fixation in more than one anatomic plane without compromising adjacent soft tissue. This new and innovative surgical technique guide displays the use of semitendinosus tendon allograft in 22 ankles between January 2016 and December 2020 for treatment of recurrent lateral ankle instability after Brostrom-Gould failure. The average follow up time was 30 months and three patients were lost to follow up. Patients returned to regular shoe gear on average by 11 weeks. Three postoperative complications required return to the operating room for incision dehiscence or revision reconstruction. Eleven patients required advanced imaging postoperatively due to a new injury and only one patient compromised their reconstruction. In conclusion, our results demonstrate a new, reproducible lateral ankle ligament reconstruction technique that has been able to withstand repeat inversion.

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骨折失败后同种异体肌腱解剖重建踝关节外侧。病例系列及手术技术指南

目前的文献提供了Brostrom-Gould手术失败后的重建方案，但未能证明一种持久的方案，即在多个解剖平面内进行多点固定而不损害邻近软组织。这份创新的手术技术指南展示了2016年1月至2020年12月期间，在22例踝关节中使用同种异体半腱肌腱移植治疗Brostrom-Gould失败后复发性外侧踝关节不稳定。平均随访时间30个月，失访3例。患者平均在11周后恢复正常穿鞋。3例术后并发症需要返回手术室进行切口裂开或翻修重建。11例患者术后因新发损伤需要先进的影像学检查，只有1例患者的重建受损。总之，我们的结果展示了一种新的、可重复的踝关节外侧韧带重建技术，能够承受重复内翻。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot & ankle surgery (New York, N.Y.) Orthopedics, Sports Medicine and Rehabilitation, Podiatry

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审稿时长

75 days