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The unstable ankle

What is it?   |  What are the causes?   |  Why is it important to know which of these it is?   |   Can the ankle be unstable without an injury?   |  When to reconstruct the ligaments?   |  The operation - operative footage   |  Lateral ligament reconstruction (operative stills)   |  What happens after the operation?   |  How likely is this to work?  

 

Lateral Ligament Reconstruction - Operative stills

the varus stress test for lateral ligament laxity. see text for full discussion on testing the ligamentssignificantly lax lateral ligaments, allowing a divot to appear in the soft tissues (1). more correctly known as the sulcus signskin incision extending from lateral arthroscopic portal(1) to peroneal tendons(2)the lateral capsular structures and ligaments exposed
The varus stress test for lateral ligament laxity. See text for full discussion on testing the ligamentsSignificantly lax lateral ligaments, allowing a divot to appear in the soft tissues (1). More correctly known as the Sulcus signSkin incision extending from lateral arthroscopic portal(1) to peroneal tendons(2)The lateral capsular structures and ligaments exposed
the capsule opened anteriorly and atf ligament dividedthe exposure extended back towards the peroneal tendons(1). the inside of the ankle joint is visable(2). the cfl ligament sits beneath the peroneal tendons and is also to be exposedthe capsule and ligaments being tightened with multiple sutures.the sutures being tied.  the superficial peroneal nerve, dissected free and avoided is visible (1).
The capsule opened anteriorly and ATF ligament dividedThe exposure extended back towards the peroneal tendons(1). The inside of the ankle joint is visable(2). The CFL ligament sits beneath the peroneal tendons and is also to be exposed
The capsule and ligaments being tightened with multiple sutures.The sutures being tied. The superficial peroneal nerve, dissected free and avoided is visible (1).
the capsule and ligaments tightened and closedthe wound closed with absorbable suture.
The capsule and ligaments tightened and closedThe wound closed with absorbable suture.
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