Authors
Kotelnikov G.P., Larionov V.A., Shitikov D.S., Kim Yu.D., Pankratov A.S., Ogurcov D.A.
Samara State Medical University, Samara
Abstract
Anatomical reconstruction of the lateral ankle ligamentous complex is one of the methods for surgical treatment of chronic lateral ankle instability and is used in cases where previous conservative treatment was ineffective. During the existence of the method, many graft options have been proposed, but many of them have already lost their significance. The purpose of this review is to find out what types of autografts used for the reconstruction of the lateral ankle ligaments are currently relevant. Materials and methods. We have performed a review of the literature on this topic over the past 10 years (since 2012). According to the results of the study, it turned out that the most commonly used types of autografts are the hamstrings (thin and semitendinosus muscles) and the peroneal tendons. But the use of peroneal tendons is associated with a violation of the stabilization of the ankle, while with the use of the hamstrings this problem does not occur. At the same time, the length and strength of m. gracilis or m. semitendinosus is sufficient for reliable stabilization of the outer part of the ankle joint, which makes this type of autograft preferable for anatomical reconstruction of the lateral ligamentous complex.
Keywords: anatomical reconstruction, lateral ligament complex, ankle joint.
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