Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors
In recent years, arthroscopic and arthroscopically assisted techniques have been increasingly used to reconstruct the lateral ligaments of the ankle. Besides permitting the treatment of several comorbidities, arthroscopic techniques are envisioned to lower the amount of surgical aggression and to im...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-02-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628715001668 |
| _version_ | 1819102898532909056 |
|---|---|
| author | Hélder Pereira, M.D. Gwen Vuurberg Nuno Gomes, M.D. Joaquim Miguel Oliveira, B.Sc., Ph.D. Pedro L. Ripoll, M.D. Rui Luís Reis, C.Eng., M.Sc., Ph.D., D.Sc. João Espregueira-Mendes, M.D., Ph.D. C. Niek van Dijk, M.D., Ph.D. |
| author_facet | Hélder Pereira, M.D. Gwen Vuurberg Nuno Gomes, M.D. Joaquim Miguel Oliveira, B.Sc., Ph.D. Pedro L. Ripoll, M.D. Rui Luís Reis, C.Eng., M.Sc., Ph.D., D.Sc. João Espregueira-Mendes, M.D., Ph.D. C. Niek van Dijk, M.D., Ph.D. |
| author_sort | Hélder Pereira, M.D. |
| collection | DOAJ |
| description | In recent years, arthroscopic and arthroscopically assisted techniques have been increasingly used to reconstruct the lateral ligaments of the ankle. Besides permitting the treatment of several comorbidities, arthroscopic techniques are envisioned to lower the amount of surgical aggression and to improve the assessment of anatomic structures. We describe our surgical technique for arthroscopic, two-portal ankle ligament repair using an all-soft knotless anchor, which is made exclusively of suture material. This technique avoids the need for classic knot-tying methods. Thus it diminishes the chance of knot migration caused by pendulum movements. Moreover, it avoids some complications that have been related to the use of metallic anchors and some currently available biomaterials. It also prevents prominent knots, which have been described as a possible cause of secondary complaints. |
| first_indexed | 2024-12-22T01:41:53Z |
| format | Article |
| id | doaj.art-655d1ea3ee4b4f5ba8526da7146a41cb |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T01:41:53Z |
| publishDate | 2016-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-655d1ea3ee4b4f5ba8526da7146a41cb2022-12-21T18:43:12ZengElsevierArthroscopy Techniques2212-62872016-02-0151e99e107Arthroscopic Repair of Ankle Instability With All-Soft Knotless AnchorsHélder Pereira, M.D.0Gwen Vuurberg1Nuno Gomes, M.D.2Joaquim Miguel Oliveira, B.Sc., Ph.D.3Pedro L. Ripoll, M.D.4Rui Luís Reis, C.Eng., M.Sc., Ph.D., D.Sc.5João Espregueira-Mendes, M.D., Ph.D.6C. Niek van Dijk, M.D., Ph.D.7Orthopedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal; 3B's Research Group–Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's–PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Ripoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, Spain; Address correspondence to Hélder Pereira, M.D., Rua do Visconde n.161, Touguinhó 4480-582, Vila do Conde, Portugal.Orthopedic Department, Amsterdam Medical Centre, Amsterdam, The NetherlandsOrthopedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal3B's Research Group–Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's–PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Ripoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, SpainRipoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, Spain3B's Research Group–Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's–PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain3B's Research Group–Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's–PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, SpainClínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Orthopedic Department, Amsterdam Medical Centre, Amsterdam, The NetherlandsIn recent years, arthroscopic and arthroscopically assisted techniques have been increasingly used to reconstruct the lateral ligaments of the ankle. Besides permitting the treatment of several comorbidities, arthroscopic techniques are envisioned to lower the amount of surgical aggression and to improve the assessment of anatomic structures. We describe our surgical technique for arthroscopic, two-portal ankle ligament repair using an all-soft knotless anchor, which is made exclusively of suture material. This technique avoids the need for classic knot-tying methods. Thus it diminishes the chance of knot migration caused by pendulum movements. Moreover, it avoids some complications that have been related to the use of metallic anchors and some currently available biomaterials. It also prevents prominent knots, which have been described as a possible cause of secondary complaints.http://www.sciencedirect.com/science/article/pii/S2212628715001668 |
| spellingShingle | Hélder Pereira, M.D. Gwen Vuurberg Nuno Gomes, M.D. Joaquim Miguel Oliveira, B.Sc., Ph.D. Pedro L. Ripoll, M.D. Rui Luís Reis, C.Eng., M.Sc., Ph.D., D.Sc. João Espregueira-Mendes, M.D., Ph.D. C. Niek van Dijk, M.D., Ph.D. Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors Arthroscopy Techniques |
| title | Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors |
| title_full | Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors |
| title_fullStr | Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors |
| title_full_unstemmed | Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors |
| title_short | Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors |
| title_sort | arthroscopic repair of ankle instability with all soft knotless anchors |
| url | http://www.sciencedirect.com/science/article/pii/S2212628715001668 |
| work_keys_str_mv | AT helderpereiramd arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT gwenvuurberg arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT nunogomesmd arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT joaquimmigueloliveirabscphd arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT pedrolripollmd arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT ruiluisreiscengmscphddsc arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT joaoespregueiramendesmdphd arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors AT cniekvandijkmdphd arthroscopicrepairofankleinstabilitywithallsoftknotlessanchors |