medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2004, Number s1

<< Back Next >>

Acta Ortop Mex 2004; 18 (s1)

Study comparing surgical therapy vs conservative therapy in chronic ankle instability

Romero-Cruz JA, Ramírez-Salgado CU, de la Cruz-Honorato E, Acosta Rosales R

Language: English
References: 22
Page: 45-50
PDF size: 81.02 Kb.


ABSTRACT

Ankle ligament injuries are one of the problems most commonly seen in general practice and in the emergency room. The ligaments most commonly involved are the lateral ligaments. The forced inversion mechanism is the most common reason for these injuries. A study was conducted with 39 volunteers diagnosed with chronic mechanical instability. Twenty subjects were managed by ligament reconstruction using the Chrisman-Snook technique. The other 19 subjects were treated by rehabilitation exercises. All subjects were assessed using the AOFAS scale prior to their management and they were reassessed within a term ranging from 6 to 18 months with the same scale to see the results. The conclusion drawn was that ligament repair with the Chrisman-Snook technique has been more effective than rehabilitation based conservative management in chronic ankle instability.


REFERENCES

  1. Becker HP, Rosenbaum D: Chronic recurrent ligament instability on the lateral ankle. Orthopade 1999; 28(6): 483-492.

  2. Braun BL: Effects of ankle sprain in a general clinic population 6 to 18 months after medical evaluation. Arch Fam Med 1999; 8: 143-148.

  3. Brunner R, Gaechter A: Repair of fibular ligament: comparison of reconstructive techniques using plantaris and peroneal tendons. Food & Ankle 1991; 11(6): 359-367.

  4. Campbell’s: Campbell’s operative orthopaedics. Mosby, Inc. Ninth edition. 1998: 1080-1096.

  5. Colville MR: Surgical treatment of the unstable ankle. J Am Acad Orthop Surg 1998; 6: 368-377.

  6. Eisele SA: The orthopedic clinics of North America. W.B. Saunders Company. 1994; 25(1): 1-14, 29-30, 61-62.

  7. Ferkel RD: Arthroscopic surgery. The Foot and Ankle. Lippincott-Raven Publishers. 1996: 7-9, 201-204.

  8. Freeman MA: Instability of the foot after injuries to the lateral ligament of the ankle. J Bone and Joint Surgery 1965; 47(4): 669-677.

  9. Fujii T, Luo Z, Kitaoka H, An K: The manual stress test may not be sufficient to differentiate ankle ligament injuries. Clin Biomech 2000; 15(8): 619-623.

  10. Hennrikus WL, Mapes R, Lyons P, Lapoint JM: Outcomes of the Chrisman-Snook and modified-Brostrom procedures for chronic lateral ankle instability. Am J Sports Med 1996; 24(4): 400-404.

  11. Hintermann B: Biomechanics of the unstable ankle joint and clinical implications. Med Sci Sports Exerc 1999; 31(7): 459-69.

  12. Hoppenfeld S: Exploración física de la columna vertebral y las extremidades. Manual Moderno. 1997; 17va. Impresión: 352-401.

  13. Karlsson J, Bergsten T, Lansinger O, Peterson L: Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg Am 1988; 70(4): 581-588.

  14. Karlsson J, Eriksson B, Bergsten T, Rudholm O, Sward L: Comparison of two anatomic reconstruction for chronic lateral instability of the ankle joint. Am J Sport Med 1997; 25(1): 48-53.

  15. Karlsson J, Lasinger O: Chronic lateral instability of the ankle in athletes. Sports Med 1993; 16(5): 355-65.

  16. Kitaoka HB, Alexander J, Adelaar RS, Nunley JA, Myerson MS, Sanders M: Clinical rating systems for the ankle-hindfoot, midfoot, hallux, and lesser toes. Foot Ankle 1991; 15(7): 349-353.

  17. Malcom G, Andrew J, Angus M: Instability of the ankle after injuries to the lateral ligaments. J Bone Joint Surg 1980; 62-B(2): 196-200.

  18. Moore KL: Anatomía con orientación clínica. Panamericana. 1993; 3a Edición: 510-512.

  19. Pieron AP: Lateral ankle instability correction by translocation of the intact peroneus brevis tendon: a prospective study of 45 cases. J South Orthop Assoc 1998; 7(3): 187-91.

  20. Rockwood G: Rockwood & Green’s Fractures in Adults. Lippincott-Raven publishers. 1996: 2252-2258.

  21. Snook GA, Chrisman OD, Wilson TC: Long-Term Results of the Chrisman-Snook operation for reconstruction of the lateral ligament of the ankle. J Bone Joint Surg 1985; 67(1): 1-7.

  22. Wulker N, Rudert M: Lateral ankle ligament rupture. When is surgical management indicated and when conservative therapy preferred? Orthopaed 1999; 28(6): 476-82.




2020     |     www.medigraphic.com