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Arthroscopic repair of the Anterior Talo - Fibular Ligament - mid term results
Author(s):
Mioduszewski A. (Poland)
,
Mioduszewski A. (Poland)
Affiliations:
Wrobel M.
,
Wrobel M.
Affiliations:
Swierczynski R.
,
Swierczynski R.
Affiliations:
Sroczynski J.
,
Sroczynski J.
Affiliations:
Klos G.
Klos G.
Affiliations:
ESSKA Academy. Mioduszewski A. May 9, 2018; 209284; P02-1200 Topic: Arthroscopic Surgery
Dr. Andrzej Mioduszewski
Dr. Andrzej Mioduszewski
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Abstract
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Objectives: Our objective in this work is to assess safety and efficiency of our method of repairing Anterior Talo Fibular Ligament by it's reinsertion to the Talus or Fibula.

Methods: Between 2011-2015 we performed 21 arthroscopic ATFL reconstructions of the ankle. In that group there were 7 female and 14 male (1 operated bilaterally). Mean age was 28 years. Mean follow-up 24 months. Before surgery efficiency of the ATFL and CFL were evaluated on ultrasound examination.
ATFL was fixated to the lateral malleolus in 15 cases and to the talus in 6 cases during standard arthroscopy of the anterior compartment of the ankle. Additional anterolateral portal was used in all cases. Standard 3,5 mm anchors were used for fixation. All patients underwent same physical therapy protocol. After 3 months every patient had ultrasound evaluation, which also was repeated immediately prior to this analysis. AOFAS score was used to assess results.

Results: 
In all cases ligament healing was observed in ultrasound examination. In one case the ligament scar was slightly elongated with preserved joint stability. In one case a neuroma from cutaneous branches of the peroneal nerve in anterior-lateral portal occurred. In all cases there was improvement in CFL tension. The mean AOFAS score was 92,5 postoperatively ( 85 to 100).

Conclusions: Arthroscopic stabilization ATFL seems to be an effective, not traumatic method of treatment of the lateral ankle instability.

Keywords:
Ankle sprain, ATFL, arthroscopy of Ankle, anterior talo - fibular ligament
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