Thirty-seven patients conservatively treated because of chronic lateral instability of the ankle were studied 18 to 23 years after their index visit. Twenty-two patients, 12 with unilateral and 10 with bilateral symptoms (32 of 49 ankles), still suffered from instability, but only three considered further treatment Degenerative changes were observed in six of 46 radiographically examined ankles, with no correlation to age or persistent instability.
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References
1.
. BargonG.: Rbntgenmorphologische Gradeinteilung der posttraumatischen Arthrose im oberen Sprunggelenk. Unfallheilkunde, 133:28–34, (1978.)
2.
. BauerM., BergstromB., and HemborgA.: Arthrosis of the ankle evaluated of films in weight-bearing position. Acta Radiol. Diagn., 20:88–92, (1979.)
3.
. BauerM., BergstrhB., HemborgA., and SandegårdJ.: Malleolar fractures. Non-operative versus operative treatment. Clin. Orthop.. 199:17–27, (1985.)
. BosienW.R., StaplesO.S., and RusselS.W.: Residual disability following acute ankle sprains. J. Bone Joint Surg37A:1237–1243,(1955.)
6.
. BoszottaH., and SauerG.: Die chronische fibulare Bandinsuffizienz am oberen Sprungelenk. Spatergebnisse nach modifzierter Watson Jones Plastik. Unfallchirurg, 92:11–16, (1989.)
7.
. BrostrhL.:BrostrhL.: Sprained ankles. V. Treatment and prognosis in recent ligament ruptures. Acta Chir. Scand., 132:537–550,(1966.)
8.
. CedellC-A.: Supination-outward injuries of the ankle. A clinical and roentgenological study with special reference to the operative treatment. Acta Orthop. Scand. [Suppl.], 110, (1967.)
9.
. CollianderE., ErikssonE., HerkelM., and SkoldP.: Injuries in Swedish elite basketball. Orthopedics, 9:225–227, (1986.)
10.
. HarringtonK.: Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability. J. Bone Joint Surg.61A:61A:354–361, (1979.)
11.
. JacksonA., and GlasgowM.: Tarsal hypermobility after ankle fusion-fact or fiction?J. Bone Joint Surg., 61A:470–473, (1979.)
12.
. KarlssonJ., BergstenT., LansingerO., and PetersonL.A.: Reconstruction of the lateral ligaments of the ankle for chronic lateral instability. J. Bone Joint Surg., 70A:581–588, (1988.)
13.
. KellerE., MeederP.J., and WellerS.: Ergebnisse einer modifizierten Watson-Jones-Plastik zur Behandlung der chronischen fibularen Bandinsuffiziens. Aktuel. Traumatol., 11:179–184, (1981.)
14.
. KinzlL.: Sekundärarthrose des oberen Sprunggelenkes. Unfal- Iheilkunde, 86:295–303, (1983.)
15.
. KorkalaO., TanskanenP., MakijarviJ., SorvaliT., YlikoskiM., and HaapalaJ.: Long-term results of the Evans procedure for lateral instability of the ankle. J. Bone Joint Surg., 73B:96–99, (1991.)
16.
. KristiansenB: Surgical treatment of ankle instability in athletes. Br. J. Sports Med., 16:40–45,(1982.)
17.
. LarsenE., and AruA.: Synovitis in chronically unstable ankles. Acta Orthop. Scand., 60:340–344, (1989.)
18.
. LeonardM.H.: Injuries of the lateral ligaments of the ankle. J. Bone Joint Surg., 31A:373–377, 1949.
19.
. LindeF., HvassI., JurgensenU., and MadsenF.: Early mobilizing treatment in lateral ankle sprains. Scand. J. Rehabil. Med., 18:17–21, (1986.)
20.
. Lindsj6U., Danckwardt-LilliestrhG., and SahlstedtB.: Measurement of the motion range in the loaded ankle. Clin. Orthv.109:68–71,(1985.)
21.
. MagnussonR.A.: On the late results in non-operated cases of malleolar fractures. A clinical roentgenological statistical study. Thesis, Lund University, Sweden, (1944), p.107.
22.
. MazurJ.M., Schwa-E., and SimonS.R.: Ankle arthrodesis. Long-term follow-up with gait analysis. J. Bone Joint Surg., 61A:964–975,(1979.)
23.
. MilachowskiK.A., and WirthC.J.: The result of reconstruction of the lateral ligaments of the ankle. Int. Orthop., 12:51–55, (1988.)
24.
. NoguchiK.: Biomechanical analysis for osteoarthritis of the ankle. J. Jpn. Orthop. Assoc., 59:215–222,(1985.)
25.
. OlerudC., and MolanderH.: Bi- and trimalleolar ankle fractures operated with nonrigid internal fixation. Clin. Orthop., 206:253–260,(1986.)
26.
. RieckB., and ReiserM.B.P.: Posttraumatische Arthrose des oberen Sprunggelenkes bei chronischer fibularer Bandinsuffizienz. Orthopade, 15:466–471,(1986.)
27.
. SowaD.T., and KrackowK.A.: Ankle fusion: a new technique of internal fixation using a compression blade plate. Foot Ankle, 9:232–240, (1989.)
28.
. WilsonF.C., and SkilbredL.A.: Long-term results in the treatment of displaced bimalleolar fractures. J. Bone Joint Surg., 48A:1065–1078, (1966.)
29.
. ZwippH.: Treatment of chronic, tweplane instability of the ankle joint: syndesmoplasty versus periosteal flap versus tene desis. J. Foot Surg., 29:3–12, (1990.)
