Arthroscopic Repair of Acute Rupture of the Deltoid Ligament
Category: Ankle, Arthroscopy, Trauma Introduction/Purpose: An ankle dislocation represents a high-energy traumatic injury that often occurs in traffic accidents or during jumping sports and usually it is associated with bi or trimalleolar fractures. Rupture of the deltoid ligament can occur alone or...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-10-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011419S00442 |
| _version_ | 1819278486988128256 |
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| author | Patrícia Wircker Miguel Duarte Silva João Caetano MD Rafael Dias MD João Figueiredo MD João Vieira Sousa Rita Alçada Teresa Alves da Silva Nuno Côrte-Real MD |
| author_facet | Patrícia Wircker Miguel Duarte Silva João Caetano MD Rafael Dias MD João Figueiredo MD João Vieira Sousa Rita Alçada Teresa Alves da Silva Nuno Côrte-Real MD |
| author_sort | Patrícia Wircker |
| collection | DOAJ |
| description | Category: Ankle, Arthroscopy, Trauma Introduction/Purpose: An ankle dislocation represents a high-energy traumatic injury that often occurs in traffic accidents or during jumping sports and usually it is associated with bi or trimalleolar fractures. Rupture of the deltoid ligament can occur alone or combined. There is currently extensive literature advocating LCL repair (assisted) by arthroscopy. However, the ruptures of the deltoid ligament are repaired by open technique: direct suture in acute cases and ligamentoplasty involving the Spring ligament in chronic cases. The possibility of repairing by arthroscopy allows an improvement in morbidity and complication rate. Undiagnosed and improperly treated medial collateral ligament (MCL) injuries can lead to disabling conditions. Methods: This study presents three cases of fracture-dislocation of the ankle with rupture of both collateral ligaments. Results: In addition to the usual osteosynthesis, it was also performed a ligament repair of the LCL with the arthroscopic Brostrom procedure. In the presence of medial instability, suture anchors were used to repairing the deltoid ligament and inferior extensor retinaculum via an arthroscopic technique. All patients presented a good functional recovery, two of them with AOFAS above of 83 at the end of the 6-month follow-up and with a complete return to daily living activities. Conclusion: Apart from having studied only three cases, the prospect of injury repaired by minimally invasive surgery in the acute phase seems advantageous in selected patients, avoiding evolution to a disabling chronic situation. |
| first_indexed | 2024-12-24T00:12:47Z |
| format | Article |
| id | doaj.art-9a3133ff1e494692a602d75c10a31671 |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-24T00:12:47Z |
| publishDate | 2019-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-9a3133ff1e494692a602d75c10a316712022-12-21T17:24:51ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142019-10-01410.1177/2473011419S00442Arthroscopic Repair of Acute Rupture of the Deltoid LigamentPatrícia WirckerMiguel Duarte SilvaJoão Caetano MDRafael Dias MDJoão Figueiredo MDJoão Vieira SousaRita AlçadaTeresa Alves da SilvaNuno Côrte-Real MDCategory: Ankle, Arthroscopy, Trauma Introduction/Purpose: An ankle dislocation represents a high-energy traumatic injury that often occurs in traffic accidents or during jumping sports and usually it is associated with bi or trimalleolar fractures. Rupture of the deltoid ligament can occur alone or combined. There is currently extensive literature advocating LCL repair (assisted) by arthroscopy. However, the ruptures of the deltoid ligament are repaired by open technique: direct suture in acute cases and ligamentoplasty involving the Spring ligament in chronic cases. The possibility of repairing by arthroscopy allows an improvement in morbidity and complication rate. Undiagnosed and improperly treated medial collateral ligament (MCL) injuries can lead to disabling conditions. Methods: This study presents three cases of fracture-dislocation of the ankle with rupture of both collateral ligaments. Results: In addition to the usual osteosynthesis, it was also performed a ligament repair of the LCL with the arthroscopic Brostrom procedure. In the presence of medial instability, suture anchors were used to repairing the deltoid ligament and inferior extensor retinaculum via an arthroscopic technique. All patients presented a good functional recovery, two of them with AOFAS above of 83 at the end of the 6-month follow-up and with a complete return to daily living activities. Conclusion: Apart from having studied only three cases, the prospect of injury repaired by minimally invasive surgery in the acute phase seems advantageous in selected patients, avoiding evolution to a disabling chronic situation.https://doi.org/10.1177/2473011419S00442 |
| spellingShingle | Patrícia Wircker Miguel Duarte Silva João Caetano MD Rafael Dias MD João Figueiredo MD João Vieira Sousa Rita Alçada Teresa Alves da Silva Nuno Côrte-Real MD Arthroscopic Repair of Acute Rupture of the Deltoid Ligament Foot & Ankle Orthopaedics |
| title | Arthroscopic Repair of Acute Rupture of the Deltoid Ligament |
| title_full | Arthroscopic Repair of Acute Rupture of the Deltoid Ligament |
| title_fullStr | Arthroscopic Repair of Acute Rupture of the Deltoid Ligament |
| title_full_unstemmed | Arthroscopic Repair of Acute Rupture of the Deltoid Ligament |
| title_short | Arthroscopic Repair of Acute Rupture of the Deltoid Ligament |
| title_sort | arthroscopic repair of acute rupture of the deltoid ligament |
| url | https://doi.org/10.1177/2473011419S00442 |
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