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The Augmentation Technique for Anatomical Reduction of Shortened Lateral Ligament Complex in Modified Broström Procedure by Chan Kang; Gi Soo Lee; Jeong-kil Lee; Ki Jun Ahn; Sung Jin Hwang; Young Cheol Park; Hyung Jin Chung; Jae Hwang Song is a Medicine article available to read on EtoBox.
What is The Augmentation Technique for Anatomical Reduction of Shortened Lateral Ligament Complex in Modified Broström Procedure about?
## Category: Ankle, Sports ## Introduction/Purpose: The modified Broström procedure(MBP) is clinically standard surgical treatment of lateral ankle instability with or without subfibular ossicle. But if there is a large ossicle or distal malposition of lateral ligament complex(LLC), it can result in a lack of remnant ligamentous tissue and leave gap that may not be approximated. Thus, we have proposed an augmentation technique for anatomical reduction of shortened LLC in MBP and evaluated radiologic and clinical findings. ## Methods: From December 2013 to February 2018, fifty two of fifty six patients who had shortened LLC treated with the augmentation technique with MBP using absorbable suture material. LLC(anterior talofibular ligament(ATFL) and calcaneofibular ligament(CFL)) was exposed after inferior extensor retinaculum(IER) was incised. Then, we identified shortened LLC. Then, we incised just distal part of connecting soft tissue of ATFL and CFL additionally for reduction to anatomic footprint. After confirmation of reduction, 4 or 5 bone tunnels were made and deep fiber of LLC was repaired tightly with foot in neutral dorsiflexion and 5° eversion by using horizontal mattress
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- Author
- Chan Kang; Gi Soo Lee; Jeong-kil Lee; Ki Jun Ahn; Sung Jin Hwang; Young Cheol Park; Hyung Jin Chung; Jae Hwang Song
- Publisher
- SAGE Publications
- Published
- 2019
- Language
- EN
- Field
- Medicine (Health Sciences)