Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair

Purpose: Residual symptoms can be observed after ankle lateral ligament repairs commonly due to hyperlaxity, severe ankle instability or a failed stabilization. In order to increase joint stability, ligament or capsular‐ligament plication has been used in other joints. Given that the anterior portio...

ver descrição completa

Detalhes bibliográficos
Autores: Vega, Jordi, Malagelada, Francesc, Guelfi, Matteo, Dalmau-Pastor, Miki
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:dnet:recercat____::95cf91a92827584e562cc3437da65b34
Acesso em linha:https://hdl.handle.net/2445/229619
Access Level:acceso abierto
Palavra-chave:Artroscòpia
Turmell
Lligaments
Arthroscopy
Ankle
Ligaments
id ES_be29daa8feb910ce325a3c3d8a73c6d7
oai_identifier_str oai:dnet:recercat____::95cf91a92827584e562cc3437da65b34
network_acronym_str ES
network_name_str España
repository_id_str
spelling Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repairVega, JordiMalagelada, FrancescGuelfi, MatteoDalmau-Pastor, MikiArtroscòpiaTurmellLligamentsArthroscopyAnkleLigamentsPurpose: Residual symptoms can be observed after ankle lateral ligament repairs commonly due to hyperlaxity, severe ankle instability or a failed stabilization. In order to increase joint stability, ligament or capsular‐ligament plication has been used in other joints. Given that the anterior portion of the deltoid is a stabilizer against anterior talar translation, it could be used as an augmentation to restrict anterior talar translation. The aim of this study was to describe an arthroscopic anterior deltoid plication with a bony anchor as an augmentation to the lateral stabilization. The results in a series of eight patients were presented. Methods: Eight patients (seven males, median age 31 [range, 22–43]years) presented residual instability after arthroscopic all inside lateral collateral ligament repair. Arthroscopic anterior deltoid ligament plication was performed in these patients. Median follow‐up was 22 (range, 15–27) months. Using an automatic suture passer and a knotless anchor, the anterior deltoid was arthroscopically plicated to the anterior aspect of the medial malleolus. Results: During the arthroscopic procedure, only an isolated detachment of the anterior talofibular ligament was observed without any deltoid open‐book injury in any case. All patients reported subjective improvement in their ankle instability after the arthroscopic all‐inside ligament repair and the anterior deltoid plication with a bony anchor. On clinical examination, the anterior drawer test was negative in all patients. The median American Orthopedic Foot and Ankle Society score increased from 68 (range, 64–70) preoperatively to 100 (range, 90–100) at final follow‐up. Conclusion: The arthroscopic anterior deltoid plication is a feasible procedure to augment stability and control anterior talar translation when treating chronic ankle instability in cases of residual excessive talar translation. Level of Evidence: Level IV.Springer Verlag2026202620242026info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion6 p.application/pdfhttps://hdl.handle.net/2445/229619https://hdl.handle.net/2445/229619reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció document publicat a: https://doi.org/10.1002/ksa.12328Knee Surgery Sports Traumatology Arthroscopy, 2024, vol. 32, num.8, p. 2178-2183https://doi.org/10.1002/ksa.12328cc-by (c) Vega, Jordi et al., 2024https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:dnet:recercat____::95cf91a92827584e562cc3437da65b342026-05-29T05:05:01Z
dc.title.none.fl_str_mv Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
title Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
spellingShingle Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
Vega, Jordi
Artroscòpia
Turmell
Lligaments
Arthroscopy
Ankle
Ligaments
title_short Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
title_full Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
title_fullStr Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
title_full_unstemmed Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
title_sort Arthroscopic anterior deltoid plication with bone anchor is an effective procedure to control residual talar anterior translation after lateral ligament repair
dc.creator.none.fl_str_mv Vega, Jordi
Malagelada, Francesc
Guelfi, Matteo
Dalmau-Pastor, Miki
author Vega, Jordi
author_facet Vega, Jordi
Malagelada, Francesc
Guelfi, Matteo
Dalmau-Pastor, Miki
author_role author
author2 Malagelada, Francesc
Guelfi, Matteo
Dalmau-Pastor, Miki
author2_role author
author
author
dc.subject.none.fl_str_mv Artroscòpia
Turmell
Lligaments
Arthroscopy
Ankle
Ligaments
topic Artroscòpia
Turmell
Lligaments
Arthroscopy
Ankle
Ligaments
description Purpose: Residual symptoms can be observed after ankle lateral ligament repairs commonly due to hyperlaxity, severe ankle instability or a failed stabilization. In order to increase joint stability, ligament or capsular‐ligament plication has been used in other joints. Given that the anterior portion of the deltoid is a stabilizer against anterior talar translation, it could be used as an augmentation to restrict anterior talar translation. The aim of this study was to describe an arthroscopic anterior deltoid plication with a bony anchor as an augmentation to the lateral stabilization. The results in a series of eight patients were presented. Methods: Eight patients (seven males, median age 31 [range, 22–43]years) presented residual instability after arthroscopic all inside lateral collateral ligament repair. Arthroscopic anterior deltoid ligament plication was performed in these patients. Median follow‐up was 22 (range, 15–27) months. Using an automatic suture passer and a knotless anchor, the anterior deltoid was arthroscopically plicated to the anterior aspect of the medial malleolus. Results: During the arthroscopic procedure, only an isolated detachment of the anterior talofibular ligament was observed without any deltoid open‐book injury in any case. All patients reported subjective improvement in their ankle instability after the arthroscopic all‐inside ligament repair and the anterior deltoid plication with a bony anchor. On clinical examination, the anterior drawer test was negative in all patients. The median American Orthopedic Foot and Ankle Society score increased from 68 (range, 64–70) preoperatively to 100 (range, 90–100) at final follow‐up. Conclusion: The arthroscopic anterior deltoid plication is a feasible procedure to augment stability and control anterior talar translation when treating chronic ankle instability in cases of residual excessive talar translation. Level of Evidence: Level IV.
publishDate 2024
dc.date.none.fl_str_mv 2024
2026
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/229619
https://hdl.handle.net/2445/229619
url https://hdl.handle.net/2445/229619
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció document publicat a: https://doi.org/10.1002/ksa.12328
Knee Surgery Sports Traumatology Arthroscopy, 2024, vol. 32, num.8, p. 2178-2183
https://doi.org/10.1002/ksa.12328
dc.rights.none.fl_str_mv cc-by (c) Vega, Jordi et al., 2024
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Vega, Jordi et al., 2024
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 6 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Verlag
publisher.none.fl_str_mv Springer Verlag
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418262561816576
score 15,81155

Registos relacionados