Professional paper
https://doi.org/10.21860/medflum2020_241521
Ankle joint stabilisation with fibular periosteal graft in treatment of chronic lateral ankle instability
Hrvoje Klobučar
orcid.org/0000-0001-7818-2172
; „Akromion“, specijalna bolnica za ortopediju, Krapinske Toplice, Hrvatska
Abstract
Aim: The aim of this article is to evaluate the method of anatomical stabilization of a chronically unstable ankle with augmentation with a fibular periosteal graft. Patients and Methods: A total of 7 men and 7 women with chronic ankle instability, with an median age of 37 years (20-61 years), were treated by surgically transposed fibular periosteal graft. The transposed periosteal flap is fixed by anchors or transoseal sutures on the talus and calcaneus, in reconstruction of the anterior talofibular and calcaneofibular ligaments. All patients were analyzed with AOFAS and FADI scores before surgery and at least one year after surgery. Results: Preoperative AOFAS increased from median 47 (17-82) to median 95 (84-100) after stabilization with periosteal fibular lobe (p <0.05). The median preoperative FADI was 89.2 (13.8-95.2), and after surgery, the median FADI was 95 (79.5-98.8) (p <0.05). Fourteen patients returned to their regular life and sports activities. Anatomical ankle stabilization methods give better functional results than non-anatomical methods. The periosteal tissue from the fibula is firm and remodels perfectly, forming a whole ligament after a year. Most studies of different techniques of using fibular periosteal graft, in lateral ankle stabilisation regardless of the type of fixation, give excellent functional results. Conclusion: The lateral ankle stabilization method with periosteal fibular graft is a reliable method of treating chronic lateral ankle instability.
Keywords
ankle stabilization; chronic lateral ankle instability; periosteal fibular graft
Hrčak ID:
241521
URI
Publication date:
1.9.2020.
Visits: 2.903 *