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KMID : 1130920210250010017
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Journal of Korean Foot and Ankle Society
2021 Volume.25 No. 1 p.17 ~ p.24
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Surgical Procedures for Chronic Lateral Ankle Instability
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Young Ki-Won
Lee Hong-Seop
Hwang Ji-Sun
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Abstract
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Surgical treatments for chronic lateral ankle instability include anatomic repair, anatomic reconstruction using an auto or allograft, non?anatomic reconstruction, and arthroscopic repair. Open anatomic repair using the native ligament with or without reinforcement of the inferior extensor retinaculum is commonly performed in patients with sufficient ligament quality. Non-anatomical reconstruction using the adjacent peroneus brevis tendon is typically used only in patients with poor-quality ligament remnants or when previous re?pair failed. Anatomical reconstruction can be considered in patients in whom anatomical repair is expected to fail and when performed using auto or allografts can provide good to excellent short-term results, although the long-term outcomes of these methods remain un?clear. Arthroscopic repair can provide good to excellent short-term clinical outcomes, but evidence supporting this technique is limited.
The advantages and disadvantages of various surgical methods should be compared, and appropriate treatment should be implemented based on patient characteristics.
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KEYWORD
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Ankle, Joints, Surgical procedure
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FullTexts / Linksout information
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Listed journal information
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