Endoscopic lateral ligament repair associated with calcaneous osteotomy

  • Jorge Pablo Batista
  • Guillermo Arrondo
  • Germán Joannas
  • Jorge Del Vecchio Javier
  • Luciano Patthauer
  • Helder Pereira Duarte
  • Jordi Vega

Resumo

Objective: Restore lateral ankle stability and correct the underlying inframalleolar varus deformity. Methods: The study was performed on 15 consecutive patients (15 ankles) with chronic lateral ankle instability and cavovarus deformity who underwent endoscopic lateral ankle ligament repair using an 4,5mm knotless anchor (Smith & Nephew Plc) and a Dwyer and sliding calcaneal osteotomy throught a lateral approach fixed with a calcaneus stape plate (Arthrex Inc., Naples, FL, USA) from 2013 to 2015.Patients provided informed consent and then they were invited to a final control follow-up office visit for a detailed evaluation performed for an independent observer using the visual analogue scale (VAS), the American Orthopedic Foot and Ankle Society (AOFAS) ankle questionnaire and the evaluation of pre and post X ray Saltzman’s incidences in all patients before and after surgery and during follow-ups. Results: Between February 2013 and November 2015, a lateral sliding osteotomy with a lateral based wedge was performed in 11 patients with a mean age of 38.7±14.6 years (range 21.5-63.4 years). All patients had a history of severe lateral ankle instability associated with a severe inframalleolar cavovarus deformity. Significant pain relief was observed from 7.1±1.8 (range 5-10) to 1.4±1.2 (range 0-4) using the visual analogue scale. The American Orthopedic Foot and Ankle Society’s score improved significantly from 36.9±12.9 (range 10-60) to 88.0±10.5 (range 70-95). Conclusions: Endoscopic ankle ligament repair associated with calcaneal sliding osteotomy and a lateral based wedge may be an effective surgical option for severe chronic ankle instability associated with calcaneous varus deformity. Correcting alignment, restoring stability and reducing pain allows patients to walk and run properly resulting in higher quality of life.

Biografia do Autor

Jorge Pablo Batista

Centro Artroscópico Jorge Batista SA, Buenos Aires, Argentina.

Guillermo Arrondo

Sanatorio Dupuytren, Buenos Aires, Argentina.

Germán Joannas

Sanatorio Dupuytren, Buenos Aires, Argentina.

Jorge Del Vecchio Javier

Fundación Favaloro, Buenos Aires, Argentina.

Luciano Patthauer

Centro Artroscópico Jorge Batista SA, Buenos Aires, Argentina.

Helder Pereira Duarte

Orthopedic Department of Póvoa de Varzim – Vila do Conde Hospital Centre; Póvoa de Varzim, Portugal; Ripoll y De Prado Sports Clinic: Murcia-Madrid FIFA Medical Centre of Excellence, Murcia, Madrid, Spain; International Centre of Sports Traumatology of the Ave, Taipas, Portugal.

Jordi Vega

Human Anatomy and Embriology Unit, University of Barcelona, Barcelona, Spain; Foot and Ankle Unit, Hospital Quirón Barcelona and, iMove Traumatology Tres Torres, Barcelona, Spain.

Publicado
20-12-2018
Como Citar
Batista, J. P., Arrondo, G., Joannas, G., Del Vecchio Javier, J., Patthauer, L., Duarte, H. P., & Vega, J. (2018). Endoscopic lateral ligament repair associated with calcaneous osteotomy. Tobillo Y Pie, 10(2), 55-65. Recuperado de https://jfootankle.com/tobilloypie/article/view/1349
Seção
Artigo Original