lateral ankle ligament reconstruction surgery

Remember these points in case of injury

If there is instability with pain after conservative therapy in the case of capsule and ligament injuries to the ankle, or if it is already clearly pronounced with recent trauma, an operation is usually indicated.

The lateral ankle ligament reconstruction surgery are seen much more frequently. In some cases, an arthroscopy is performed during the operation to rule out damage to the articular cartilage and repair damage to the joint. Then an approx. 6 to 8 cm long skin incision is made on the outer ankle. The capsule-band apparatus is shown. In the case of recent injuries, the ligaments are often sewn directly. If the outer ligaments can no longer be reconstructed, they must be replaced. To do this, either a strip of periosteum is obtained from the fibula and sewn according to the course of the ligament, or the ligaments are replaced by an endogenous tendon. This is taken from the lower leg through two small skin incisions, each 1 – 2 cm. The tendon is then looped through drill channels in the calf, ankle and heel bones and firmly anchored.

Remember these points in case of injury

If the ankle-fork ligament is injured, it is sewn and the fibula is temporarily fixed to the shin with a ligament. If the inner ligament is injured, the skin incision is made on the inner ankle to a length of approx. 6 cm. The tape is sewn directly. In some cases, the suture is held in place with a suture anchor. If the ligaments on the outer or inner ankle are torn off together with a bone block, this can be fixed again with screws or wires.

After frequent twisting injuries, despite good treatment, mechanical failure of the outer ligaments occurs in some cases, so that the ankle cannot be adequately stabilized and constant twisting occurs. This is initially only with sporting activities, but can occur as the instability increases when walking on uneven terrain or similar conditions. In this situation, any sporting activity is completely impossible.Frequent twisting, which no longer leads to massive swelling or massive pain, can of course damage the articular cartilage in the upper ankle, so that the mechanical stabilizer must be reconstructed.

It is particularly important in surgical technology that anatomical reconstructions are carried out nowadays. The tenodesis carried out in the 80s have shown that in the medium term, by restricting movement, they lead to osteoarthritis of the ankle, so that they are practically abandoned today.