Repair of the Anterior Talofibular Ligament Reinforced by Fibular Periosteal Flap.

概要

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Ten torn anterior talofibular ligaments repaired with fibular periosteal flap reinforcement were studied.The operative results were evaluated by measurements of stress X-ray photos and using Seligson's scale as a clinical score.In most of these cases, roentgenographic instability of the ankles was reduced.The average talar tilt angle improved from 14.7° to 4.7°, and the average distance of the anterior drawer test (Landeros method) was 8.0mm to 6.5mm.Clinical scores were rated from 8 to 10 points by the Seligson scale.Repair of the anterior talofibular ligament reinforced with a fibular periosteal flap is a useful method in cases of insufficient repair with a simple suture.The possibility of ossification and the tensile weakness of the perioteal flap have already been reported. No disadvantages were found in this series.
西日本整形・災害外科学会の論文