Many techniques have been advocated for the late surgical reconstruction of the lateral ankle ligament complex, including the use of hamstring tendon autografts. A new technique is described which attempts to restore anatomically the anterior talofibular ligament using hamstring autograft. The distal end of the graft is secured in a blind-ended tunnel in the talus without the need for transosseous tensioning. This is achieved with the use of the Bio-Tenodesis Screw System.
KripsRBrandssonSSwenssonCvan DijkNKarlssonJ: Anatomical reconstruction and Evans tenodesis of the lateral ligaments of the ankle. Clinical and radiological findings after 15 to 30 years. J. Bone Joint Surg.84-B(2):232–236, 2002.
3.
KripsRvan DijkNLehtonenHHalasiTMoyenBKarlssonJ: Sports activity level after surgical treatment for chronic anterolateral ankle instability. Am. J. Sports Med.30(1):13–19, 2002.
4.
LewisCWSchlegelTFHawkinsRJJamesSPTurnerAS: Comparison of tunnel suture and suture anchor methods as a function of time in a sheep model. Biomed. Sci. Instrum.35:403–408, 1999.
5.
PattersonRCohenBTaylorDBourneABlackJ: Reconstruction of the lateral ligaments of the ankle using semitendinosis graft. Foot Ankle Int.21(5):413–419, 2000.
6.
RuppSGeorgTGaussCKohnDSeilR: Fatigue testing in suture anchors. Am. J. Sports Med.30(2):239–247, 2002.
