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

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Ortopedi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Orthopaedics (hsv//eng)

Nyckelord

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

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