Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report
Extensive soft tissue defects of the ankle are an uncommon but challenging problem that require a combination of reconstructive options. We report the case of a complex injury involving the skin, lateral ankle ligaments, and peroneal tendons that were anatomically reconstructed. A 15-year-old girl w...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2019-01-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011418794677 |
| _version_ | 1818460110211514368 |
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| author | Ryuta Sakurai MD Jun-ichi Fukushi MD, PhD Hideki Mizu-uchi MD, PhD Masuo Hanada MD, PhD Kenta Momii MD Yasuharu Nakashima MD, PhD |
| author_facet | Ryuta Sakurai MD Jun-ichi Fukushi MD, PhD Hideki Mizu-uchi MD, PhD Masuo Hanada MD, PhD Kenta Momii MD Yasuharu Nakashima MD, PhD |
| author_sort | Ryuta Sakurai MD |
| collection | DOAJ |
| description | Extensive soft tissue defects of the ankle are an uncommon but challenging problem that require a combination of reconstructive options. We report the case of a complex injury involving the skin, lateral ankle ligaments, and peroneal tendons that were anatomically reconstructed. A 15-year-old girl was injured in an automobile accident resulting in extensive soft tissue defects and marked instability of her right ankle. The lower two-thirds of the anterior talofibular ligament (ATFL) had segmental defects, and calcaneofibular ligament (CFL) was completely torn, and both peroneal longus and brevis tendons were severely damaged. Initial debridement was performed on the day on injury. Two weeks after injury, the ATFL and CFL were reconstructed using a semitendinosus autograft and suture tape augmentation. Both peroneal tendons were reconstructed using a gracilis autograft. The skin defect (10 × 10 cm) was covered with an anterolateral thigh flap. After removing a short leg cast at 3 weeks postoperatively, the patient started range of motion exercises without using any brace. Weightbearing was allowed at 4 weeks. At the 24-month follow-up examination, she had returned to her preoperative level of work and sports activities. |
| first_indexed | 2024-12-14T23:25:02Z |
| format | Article |
| id | doaj.art-a3a6ec2b2af14ea998894555ac4b119b |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-12-14T23:25:02Z |
| publishDate | 2019-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-a3a6ec2b2af14ea998894555ac4b119b2022-12-21T22:43:50ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142019-01-01410.1177/2473011418794677Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case ReportRyuta Sakurai MD0Jun-ichi Fukushi MD, PhD1Hideki Mizu-uchi MD, PhD2Masuo Hanada MD, PhD3Kenta Momii MD4Yasuharu Nakashima MD, PhD5 Department of Orthopedic Surgery, Kyushu University, Fukuoka, Japan Department of Artificial Joints and Biomaterials, Kyushu University, Fukuoka, Japan Department of Orthopedic Surgery, Kyushu University, Fukuoka, Japan Department of Plastic Surgery, Kyushu University, Fukuoka, Japan Department of Emergency Center, Kyushu University, Fukuoka, Japan Department of Orthopedic Surgery, Kyushu University, Fukuoka, JapanExtensive soft tissue defects of the ankle are an uncommon but challenging problem that require a combination of reconstructive options. We report the case of a complex injury involving the skin, lateral ankle ligaments, and peroneal tendons that were anatomically reconstructed. A 15-year-old girl was injured in an automobile accident resulting in extensive soft tissue defects and marked instability of her right ankle. The lower two-thirds of the anterior talofibular ligament (ATFL) had segmental defects, and calcaneofibular ligament (CFL) was completely torn, and both peroneal longus and brevis tendons were severely damaged. Initial debridement was performed on the day on injury. Two weeks after injury, the ATFL and CFL were reconstructed using a semitendinosus autograft and suture tape augmentation. Both peroneal tendons were reconstructed using a gracilis autograft. The skin defect (10 × 10 cm) was covered with an anterolateral thigh flap. After removing a short leg cast at 3 weeks postoperatively, the patient started range of motion exercises without using any brace. Weightbearing was allowed at 4 weeks. At the 24-month follow-up examination, she had returned to her preoperative level of work and sports activities.https://doi.org/10.1177/2473011418794677 |
| spellingShingle | Ryuta Sakurai MD Jun-ichi Fukushi MD, PhD Hideki Mizu-uchi MD, PhD Masuo Hanada MD, PhD Kenta Momii MD Yasuharu Nakashima MD, PhD Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report Foot & Ankle Orthopaedics |
| title | Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report |
| title_full | Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report |
| title_fullStr | Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report |
| title_full_unstemmed | Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report |
| title_short | Anatomic Reconstruction of Lateral Ankle Ligaments and Both Peroneus Tendons After Open Fracture Dislocation of the Ankle: A Case Report |
| title_sort | anatomic reconstruction of lateral ankle ligaments and both peroneus tendons after open fracture dislocation of the ankle a case report |
| url | https://doi.org/10.1177/2473011418794677 |
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