Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel
Ankle sprains are the most common lower extremity injuries associated with sports activity. Although ligament repair techniques are popular, reconstruction methods using free tendons are considered when the ligament remnant is insufficiently strong, when high-demand athletes sustain repeat ankle spr...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-03-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628718301816 |
| _version_ | 1818439088575873024 |
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| author | Reiji Higashiyama, M.D., Ph.D. Jun Aikawa, M.D., Ph.D. Dai Iwase, M.D. Yasuyuki Takamori, M.D., Ph.D. Eiichiro Watanabe, M.D., Ph.D. Masashi Takaso, M.D., Ph.D. |
| author_facet | Reiji Higashiyama, M.D., Ph.D. Jun Aikawa, M.D., Ph.D. Dai Iwase, M.D. Yasuyuki Takamori, M.D., Ph.D. Eiichiro Watanabe, M.D., Ph.D. Masashi Takaso, M.D., Ph.D. |
| author_sort | Reiji Higashiyama, M.D., Ph.D. |
| collection | DOAJ |
| description | Ankle sprains are the most common lower extremity injuries associated with sports activity. Although ligament repair techniques are popular, reconstruction methods using free tendons are considered when the ligament remnant is insufficiently strong, when high-demand athletes sustain repeat ankle sprains, or in revision cases after repair. Recently, some arthroscopic reconstruction techniques have been reported. The distal fibular end is thin; therefore, surgeons must be careful while drilling the fibular tunnel. This report indicates the safe creation method of an anatomical fibular tunnel during anatomical arthroscopic reconstruction of the anterior talofibular ligament and calcaneofibular ligament. This also provides a stronger reconstruction using a 2-strand tendon graft for the anterior talofibular ligament substitute, which is thought to have less risk for postoperative graft failure. |
| first_indexed | 2024-12-14T17:50:54Z |
| format | Article |
| id | doaj.art-eb43d2904cee4c079278ce112d113a99 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T17:50:54Z |
| publishDate | 2019-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-eb43d2904cee4c079278ce112d113a992022-12-21T22:52:39ZengElsevierArthroscopy Techniques2212-62872019-03-0183e215e222Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular TunnelReiji Higashiyama, M.D., Ph.D.0Jun Aikawa, M.D., Ph.D.1Dai Iwase, M.D.2Yasuyuki Takamori, M.D., Ph.D.3Eiichiro Watanabe, M.D., Ph.D.4Masashi Takaso, M.D., Ph.D.5Department of Orthopaedic Surgery, Kitasato University School of Medicine, Minami, Sagamihara, Kanagawa, Japan; Address correspondence to Reiji Higashiyama, M.D., Ph.D., Department of Orthopaedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minami, Sagamihara, Kanagawa 252-0374, Japan.Department of Orthopaedic Surgery, Kitasato University School of Medicine, Minami, Sagamihara, Kanagawa, JapanDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Minami, Sagamihara, Kanagawa, JapanDepartment of Orthopaedic Surgery, Fuji Orthopaedic Surgery Hospital, Fuji, Shizuoka, JapanDepartment of Orthopaedic Surgery, Fuji Orthopaedic Surgery Hospital, Fuji, Shizuoka, JapanDepartment of Orthopaedic Surgery, Kitasato University School of Medicine, Minami, Sagamihara, Kanagawa, JapanAnkle sprains are the most common lower extremity injuries associated with sports activity. Although ligament repair techniques are popular, reconstruction methods using free tendons are considered when the ligament remnant is insufficiently strong, when high-demand athletes sustain repeat ankle sprains, or in revision cases after repair. Recently, some arthroscopic reconstruction techniques have been reported. The distal fibular end is thin; therefore, surgeons must be careful while drilling the fibular tunnel. This report indicates the safe creation method of an anatomical fibular tunnel during anatomical arthroscopic reconstruction of the anterior talofibular ligament and calcaneofibular ligament. This also provides a stronger reconstruction using a 2-strand tendon graft for the anterior talofibular ligament substitute, which is thought to have less risk for postoperative graft failure.http://www.sciencedirect.com/science/article/pii/S2212628718301816 |
| spellingShingle | Reiji Higashiyama, M.D., Ph.D. Jun Aikawa, M.D., Ph.D. Dai Iwase, M.D. Yasuyuki Takamori, M.D., Ph.D. Eiichiro Watanabe, M.D., Ph.D. Masashi Takaso, M.D., Ph.D. Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel Arthroscopy Techniques |
| title | Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel |
| title_full | Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel |
| title_fullStr | Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel |
| title_full_unstemmed | Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel |
| title_short | Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel |
| title_sort | anatomical arthroscopic anterior talofibular ligament and calcaneofibular ligament reconstruction using an autogenic hamstring tendon safe creation of anatomical fibular tunnel |
| url | http://www.sciencedirect.com/science/article/pii/S2212628718301816 |
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