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Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert

Artikel i vetenskaplig tidskrift
Författare F. Michels
H. Pereira
J. Calder
G. Matricali
M. Glazebrook
S. Guillo
Jón Karlsson
J. Acevedo
J. Batista
T. Bauer
J. Calder
D. Carreira
W. Choi
N. Corte-real
M. Glazebrook
A. Ghorbani
E. Giza
S. Guillo
K. Hunt
J. Karlsson
S. W. Kong
J. W. Lee
F. Michels
A. Molloy
P. Mangone
K. Matsui
C. Nery
S. Ozeki
C. Pearce
H. Pereira
A. Perera
B. Pijnenburg
F. Raduan
J. Stone
M. Takao
Y. Tourne
J. Vega
Publicerad i Knee Surgery Sports Traumatology Arthroscopy
Volym 26
Nummer/häfte 7
Sidor 2095-2102
ISSN 0942-2056
Publiceringsår 2018
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för ortopedi
Sidor 2095-2102
Språk en
Länkar dx.doi.org/10.1007/s00167-017-4556-...
Ämnesord Ankle ligament, Joint instability, Ankle instability, Ligament repair, Ligament reconstruction, Lateral instability of the ankle, Subtalar instability, Anterior talofibular ligament, Calcaneofibular ligament, Survey, Algorithm, Recommendations, anterior talofibular ligament, arthroscopic findings, subtalar, instability, stress radiography, surgical-treatment, repair, reconstruction, injury, diagnosis, athlete, Orthopedics, Sport Sciences, Surgery, ga i, 1993, american journal of sports medicine, v21, p120
Ämneskategorier Ortopedi

Sammanfattning

The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions. A questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indications and timing of surgery, technical choices, and the influence of patient-related aspects. Thirty of the 32 invited surgeons (94%) responded. Consensus was found on several aspects of treatment. Preoperative MRI was routinely recommended. Surgery was considered in patients with functional ankle instability after 3-6 months of non-surgical treatment. Ligament repair is still the treatment of choice in patients with mechanical instability; however, in patients with generalized laxity or poor ligament quality, lateral ligament reconstruction (with grafting) of both the ATFL and CFL should be considered. Most surgeons request an MRI during the preoperative planning. There is a trend towards earlier surgical treatment (after failure of non-surgical treatment) in patients with mechanical ligament laxity (compared with functional instability) and in high-level athletes. This study proposes an assessment and a treatment algorithm that may be used as a recommendation in the treatment of patients with CAI.

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