PMID: 8600733Nov 1, 1995Paper

Biomechanical comparison of reconstruction techniques in simulated lateral ankle ligament injury

The American Journal of Sports Medicine
J M HollisO E Hofmann

Abstract

Eighteen intact ankles were loaded with inversion-eversion and anterior-posterior forces, and motions of the talus and calcaneus were measured. Ankles were tested in neutral, 15 degrees of dorsiflexion, and 15 degrees of plantar flexion. The anterior talofibular ligament was then sectioned and testing was repeated. In half the specimens the calcaneofibular ligament was also sectioned followed by repeat testing. The Evans, Watson-Jones, and Chrisman-Snook procedures were performed on each ankle and testing was repeated. With inversion-eversion loading, only the Chrisman-Snook reconstruction resulted in a significantly more stable ankle joint complex than in the anterior talofibular ligament cut ankles. All three reconstructions increased ankle stability over the anterior talofibular and calcaneofibular ligament cut state. With anterior-posterior loading, all reconstructions resulted in a significantly more stable ankle joint complex than the anterior talofibular ligament cut ankles. The Evans and Chrisman-Snook procedures resulted in more stability than the anterior talofibular and calcaneofibular ligament cut ankles. There was no difference in subtalar joint motion with inversion-eversion loading among ankles with the anterior ...Continue Reading

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