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Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert.
Michels, Frederick; Pereira, H; Calder, J; Matricali, G; Glazebrook, M; Guillo, S; Karlsson, J; Acevedo, Jorge; Batista, Jorge; Bauer, Thomas; Calder, James; Carreira, Dominic; Choi, Woojin; Corte-Real, Nuno; Glazebrook, Mark; Ghorbani, Ali; Giza, Eric; Guillo, Stéphane; Hunt, Kenneth; Karlsson, Jon; Kong, S W; Lee, Jin Woo; Michels, Frederick; Molloy, Andy; Mangone, Peter; Matsui, Kentaro; Nery, Caio; Ozeki, Saturo; Pearce, Chris; Pereira, Hélder; Perera, Anthony; Pijnenburg, Bas; Raduan, Fernando; Stone, James; Takao, Masato; Tourné, Yves; Vega, Jordi.
Afiliación
  • Michels F; Orthopaedic Department, AZ Groeninge Kortrijk, 8500, Kortrijk, Belgium. frederick_michels@hotmail.com.
  • Pereira H; International Sports Traumatology Centre of Ave, Taipas Termal, Caldas Taipas, Portugal.
  • Calder J; Fortius Clinic, 17 Fitzhardinge St, London, UK.
  • Matricali G; Department of Development and Regeneration, KU Leuven, Leuven, Belgium.
  • Glazebrook M; Department of Orthopaedics, Foot and Ankle Unit, University Hospitals Leuven, KU Leuven, Leuven, Belgium.
  • Guillo S; Institute of Orthopaedic Research and Training, KU Leuven, Leuven, Belgium.
  • Karlsson J; Queen Elizabeth II Health Sciences Center Halifax Infirmary, Dalhousie University, 1796 Summer Street, Halifax, NS, B3H3A7, Canada.
  • Acevedo J; Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, Göthenburg, Sweden.
Knee Surg Sports Traumatol Arthrosc ; 26(7): 2095-2102, 2018 Jul.
Article en En | MEDLINE | ID: mdl-28439639
PURPOSE: The purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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. LEVEL OF EVIDENCE: V.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos del Tobillo / Ligamentos Laterales del Tobillo / Testimonio de Experto / Inestabilidad de la Articulación / Articulación del Tobillo Tipo de estudio: Guideline Límite: Adult / Female / Humans / Male Idioma: En Revista: Knee Surg Sports Traumatol Arthrosc Asunto de la revista: MEDICINA ESPORTIVA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Traumatismos del Tobillo / Ligamentos Laterales del Tobillo / Testimonio de Experto / Inestabilidad de la Articulación / Articulación del Tobillo Tipo de estudio: Guideline Límite: Adult / Female / Humans / Male Idioma: En Revista: Knee Surg Sports Traumatol Arthrosc Asunto de la revista: MEDICINA ESPORTIVA / TRAUMATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania