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Surgical Treatment of Chronic Lateral Ankle Instability with Collville's Technique

Year 2013, Volume: 5 Issue: 3, 5 - 11, 01.12.2013

Abstract

Aim: We evaluated the results of Colville's technique in young patients with chronic lateral ankle instability. Methods: Between 2008 and 2010, reconstruction of lateral ankle ligaments with Colville's augmented technique was performed in seven male and one female patients mean age 22, range 20-35 years with chronic lateral ankle instability. The interval between injury and operation ranged from 21 months to 33 months mean 29 months . According to Trevino's classification system, all patients had grade IIIc lateral ankle injuries. Mean follow- up was 42 months range 24-60 months . Results: We achieved excellent results in all patients. None of the patients developed recurrent instability. Complications such as infection, sural-nerve injury were not encountered but superficial limited skin necrosis was seen in one patient. Conclusion: By means of Colville's technique, a stability of nearly 100% can be obtained, with preservation of subtalar joint motions.

References

  • Karlsson J, Sward L, Andreasson GO. The effect of taping on ankle stability. Sports Med 1993; 16: 210-215.
  • Renstrom PA, Konradsen L. Ankle ligament inju- ries. Br. J. Sports Med. 1997; 31: 11-20.
  • Hamilton WG. Current concepts in the treatment of the acute and chronic lateral ankle instability. Sports Med. Arth Rev. 1994; 2: 264-266.
  • Ege R. Ayak bileği kırık ve çıkıkları. Ayak ve ayak bileği sorunları 1997: 741-801.
  • Bennet WF. Lateral ankle sprains. Orthop. Rev. 1994; 23: 381-387.
  • Roberts CS, De Maio M, Larkin JJ, Paine R. Ankle sprains. Orthopedics 1995; 18: 298-304.
  • Colville MR. Reconstruction of the lateral ankle li- gaments. J Bone Joint Surg [Am] 1994; 76: 1092- 1102.
  • Karsson J. Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg [Am] 1988; 70: 581-588.
  • Rodop O, Kıral A, Arpacıoğlu ÖM. Lateral ayak bi- leği ligamanlarının Colville tekniği ile geç dönem rekonstrüksiyonu. Acta Orthop Traumatol Turc 2000; 34: 293-299.
  • Ahlgren O, Larsson S. Reconstruction for lateral ligament injuries of the ankle. J Bone Joint Surg [Br] 1989;71: 300-303.
  • Snook GA, Chrisman OD, Wilson TC. Long-term results of the Chrisman-Snook operation for re- construction of the lateral ligaments of the ank- le. J Bone Joint Surg [Am] 1985; 67: 1-7.
  • Chrisman OD, Snook GA. Reconstruction of late- ral ligament tears of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie pro- cedure. J Bone Joint Surg [Am] 1969; 51:904-912.
  • Trevino SG, Davis P, Hecht PJ. Management of acute and chronic lateral ligament injuries of the ankle. Orthop Clin North Am 1994; 25: 1-16.
  • Yetkin H, Kanatlı U. Ayak Bileği Bağ Yaralanmala- rı. Acta Orthop Traumatol Turc 2002; 36 Suppl 1: 9-20.
  • Chen CY, Huang PJ, Kao KF, Chen JC, Cheng YM, Chiang HC, Lin CY. Surgical reconstruction for ch- ronic lateral instability of the ankle. Injury. 2004; 35: 809-813.
  • Schmidt R, Benesch S, Friemert B, Herbest A, Cla- es L, Gerngross H. Anatomical repair of lateral ligaments in patients with chronic ankle instabi- lity. Knee Surg Sports Traumatol Arthrosc. 2005; 13: 231-237.
  • Horstman JK, Kantor GS, Samuelson KM. Investi- gation of lateral ankle ligament reconstruction. Foot Ankle 1981; 1: 338-342.
  • Krips R, Brandsson S, Swensson C, van Dijk CN, Karsson J. Anatomical reconstruction and Evans tenodesis of the lateral ligaments of the ankle. Clinical and radiological findings after follow-up for 30 years. J Bone Joint Surg [Br] 2002 ; 84:232– 236.
  • Anderson ME. Reconstruction of the lateral liga- ments of the ankle using the plantaris tendon. J Bone Joint Surg [Am] 1985; 67: 930-934.
  • Van der Rijit AJ, Evans GA. The long –term results of Watson-Jones tenodesis. J Bone Joint Surg [Br] 1984;66: 371-375.
  • Keklikçi K, Şahin O, Yıldırım C, Solakoğlu C, Kıral A, Pehlivan Ö, Akmaz İ. Treatment of chronic late- ral instability of the ankle with the Colville tech- nique: A prospective analysis with minimum five years of follow up. Joint Diseases and Related Surgery; 2012;23: 35-39.

Ayak Bileği Kronik Lateral İnstabilitesinin Colville Tekniği ile Tedavisi

Year 2013, Volume: 5 Issue: 3, 5 - 11, 01.12.2013

Abstract

Amaç: Ayak bileği lateral bağlarının kronik lezyonlarında, Colville tekniğinin uygulandığı genç hastalardaki sonuçların değerlendirilmesi. Metod: 2008-2010 yılları arasında kronik ayak bileği lateral instabilitesi olan yedi erkek bir bayan hastaya ort. yaş 22; yaş dağılımı 20-35 güçlendirilmiş Colville tekniğiyle rekonstrüksiyon uygulandı. Yaralanmadan ameliyata kadar geçen süre ortalama 29 ay idi dağılımı 21-33 ay . Sekiz hastada da Trevino'nun değerlendirme kriterlerine göre tip IIIc ayak bileği lateral bağ lezyonu vardı. Olgular ortalama 42 ay süreyle dağılım 24-60 ay takip edildi. Bulgular: Tüm olgularda mükemmel sonuç elde edildi. Hiçbir hastada reküren instabilite gözlenmedi. Enfeksiyon, sural sinir lezyonu gibi komplikasyonlara rastlanmazken 1 hastada sınırlı yüzeyel cilt nekrozu saptandı. Sonuç: Colville tekniğiyle, stabilite %100'e yakın oranlarda sağlanırken, subtalar eklem hareketleri de korunmaktadır.

References

  • Karlsson J, Sward L, Andreasson GO. The effect of taping on ankle stability. Sports Med 1993; 16: 210-215.
  • Renstrom PA, Konradsen L. Ankle ligament inju- ries. Br. J. Sports Med. 1997; 31: 11-20.
  • Hamilton WG. Current concepts in the treatment of the acute and chronic lateral ankle instability. Sports Med. Arth Rev. 1994; 2: 264-266.
  • Ege R. Ayak bileği kırık ve çıkıkları. Ayak ve ayak bileği sorunları 1997: 741-801.
  • Bennet WF. Lateral ankle sprains. Orthop. Rev. 1994; 23: 381-387.
  • Roberts CS, De Maio M, Larkin JJ, Paine R. Ankle sprains. Orthopedics 1995; 18: 298-304.
  • Colville MR. Reconstruction of the lateral ankle li- gaments. J Bone Joint Surg [Am] 1994; 76: 1092- 1102.
  • Karsson J. Bergsten T, Lansinger O, Peterson L. Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J Bone Joint Surg [Am] 1988; 70: 581-588.
  • Rodop O, Kıral A, Arpacıoğlu ÖM. Lateral ayak bi- leği ligamanlarının Colville tekniği ile geç dönem rekonstrüksiyonu. Acta Orthop Traumatol Turc 2000; 34: 293-299.
  • Ahlgren O, Larsson S. Reconstruction for lateral ligament injuries of the ankle. J Bone Joint Surg [Br] 1989;71: 300-303.
  • Snook GA, Chrisman OD, Wilson TC. Long-term results of the Chrisman-Snook operation for re- construction of the lateral ligaments of the ank- le. J Bone Joint Surg [Am] 1985; 67: 1-7.
  • Chrisman OD, Snook GA. Reconstruction of late- ral ligament tears of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie pro- cedure. J Bone Joint Surg [Am] 1969; 51:904-912.
  • Trevino SG, Davis P, Hecht PJ. Management of acute and chronic lateral ligament injuries of the ankle. Orthop Clin North Am 1994; 25: 1-16.
  • Yetkin H, Kanatlı U. Ayak Bileği Bağ Yaralanmala- rı. Acta Orthop Traumatol Turc 2002; 36 Suppl 1: 9-20.
  • Chen CY, Huang PJ, Kao KF, Chen JC, Cheng YM, Chiang HC, Lin CY. Surgical reconstruction for ch- ronic lateral instability of the ankle. Injury. 2004; 35: 809-813.
  • Schmidt R, Benesch S, Friemert B, Herbest A, Cla- es L, Gerngross H. Anatomical repair of lateral ligaments in patients with chronic ankle instabi- lity. Knee Surg Sports Traumatol Arthrosc. 2005; 13: 231-237.
  • Horstman JK, Kantor GS, Samuelson KM. Investi- gation of lateral ankle ligament reconstruction. Foot Ankle 1981; 1: 338-342.
  • Krips R, Brandsson S, Swensson C, van Dijk CN, Karsson J. Anatomical reconstruction and Evans tenodesis of the lateral ligaments of the ankle. Clinical and radiological findings after follow-up for 30 years. J Bone Joint Surg [Br] 2002 ; 84:232– 236.
  • Anderson ME. Reconstruction of the lateral liga- ments of the ankle using the plantaris tendon. J Bone Joint Surg [Am] 1985; 67: 930-934.
  • Van der Rijit AJ, Evans GA. The long –term results of Watson-Jones tenodesis. J Bone Joint Surg [Br] 1984;66: 371-375.
  • Keklikçi K, Şahin O, Yıldırım C, Solakoğlu C, Kıral A, Pehlivan Ö, Akmaz İ. Treatment of chronic late- ral instability of the ankle with the Colville tech- nique: A prospective analysis with minimum five years of follow up. Joint Diseases and Related Surgery; 2012;23: 35-39.
There are 21 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Selim Şanel This is me

Faik Murat Ünsal This is me

Nurullah Ermiş This is me

Ender Ugutmen This is me

Can Solakoğlu This is me

Publication Date December 1, 2013
Published in Issue Year 2013 Volume: 5 Issue: 3

Cite

Vancouver Şanel S, Ünsal FM, Ermiş N, Ugutmen E, Solakoğlu C. Ayak Bileği Kronik Lateral İnstabilitesinin Colville Tekniği ile Tedavisi. Maltepe tıp derg. 2013;5(3):5-11.