Skip to main content

Evolution in Surgical Management of Ankle Instability in Athletes.

Publication ,  Journal Article
Lau, BC; Barg, A; Haytmanek, CT; McCullough, K; Amendola, A
Published in: J Am Acad Orthop Surg
January 1, 2021

Recent concepts are changing the management of ankle instability. These include concurrent medial and lateral instabilities, use of ankle arthroscopy, use of suture anchors, all-arthroscopic stabilization, synthetic augmentation, and early postoperative rehabilitation. Medial sided injuries occur in up to 72% of the lateral ankle sprains, and concomitant repair may provide greater stability. Suture anchors are equally as strong as transosseous tunnels, and the technique is simple, reproducible, and may decrease complications, but anchors do increase costs. Synthetic augmentation demonstrates greater strength than Broström alone in cadaver-based biomechanical testing. Although clinical studies of synthetic augmentation have demonstrated equivocal stability and pain compared with Broström alone, synthetic augmentation may expedite rehabilitation. All-arthroscopic ankle stabilization is gaining popularity with increasing publications. Early findings demonstrate comparable biomechanical and clinical data compared with open techniques. Early postoperative weight-bearing within 2 weeks seems to be safe and may shorten time to return to play. Surgeons may consider using these novel techniques in the management of lateral ankle instability.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

January 1, 2021

Volume

29

Issue

1

Start / End Page

e5 / e13

Location

United States

Related Subject Headings

  • Suture Techniques
  • Suture Anchors
  • Orthopedics
  • Lateral Ligament, Ankle
  • Joint Instability
  • Humans
  • Athletes
  • Arthroscopy
  • Ankle Joint
  • Ankle
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Lau, B. C., Barg, A., Haytmanek, C. T., McCullough, K., & Amendola, A. (2021). Evolution in Surgical Management of Ankle Instability in Athletes. J Am Acad Orthop Surg, 29(1), e5–e13. https://doi.org/10.5435/JAAOS-D-20-00176
Lau, Brian C., Alexej Barg, C Thomas Haytmanek, Kirk McCullough, and Annunziato Amendola. “Evolution in Surgical Management of Ankle Instability in Athletes.J Am Acad Orthop Surg 29, no. 1 (January 1, 2021): e5–13. https://doi.org/10.5435/JAAOS-D-20-00176.
Lau BC, Barg A, Haytmanek CT, McCullough K, Amendola A. Evolution in Surgical Management of Ankle Instability in Athletes. J Am Acad Orthop Surg. 2021 Jan 1;29(1):e5–13.
Lau, Brian C., et al. “Evolution in Surgical Management of Ankle Instability in Athletes.J Am Acad Orthop Surg, vol. 29, no. 1, Jan. 2021, pp. e5–13. Pubmed, doi:10.5435/JAAOS-D-20-00176.
Lau BC, Barg A, Haytmanek CT, McCullough K, Amendola A. Evolution in Surgical Management of Ankle Instability in Athletes. J Am Acad Orthop Surg. 2021 Jan 1;29(1):e5–e13.

Published In

J Am Acad Orthop Surg

DOI

EISSN

1940-5480

Publication Date

January 1, 2021

Volume

29

Issue

1

Start / End Page

e5 / e13

Location

United States

Related Subject Headings

  • Suture Techniques
  • Suture Anchors
  • Orthopedics
  • Lateral Ligament, Ankle
  • Joint Instability
  • Humans
  • Athletes
  • Arthroscopy
  • Ankle Joint
  • Ankle