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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE

A Journal on Physiopathology and Surgery of the Foot


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Chirurgia Del Piede 2003 March;27(1):25-32

language: Italian

Ruptures of the lateral ligaments of the ankle: early repair or late reconstruction in the outcomes?

Novaretti G.


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Aim. The author, through an analysis of his experience, wants to weight the better therapeutic strategy to treat a rupture of the lateral ligaments of the ankle, in the severe ankle sprains.
Methods. The results of the early surgical repairs of the ruptures of the fibular ankle ligaments are compared with the results of the delayed reconstructions of the ligaments in the complicated outcomes of these ruptures (chronic instability of the ankle and hindfoot) in two groups of patient with about 3,5 year follow-up.
Results. The better clinical, functional and radiographic results are present in the group of the primary repairs. However the results of the 2nd group also are satisfactories, but there is a small percentage of bad results that will needs further, more binding, reconstruction surgery. Nobody, between the early repaired cases, develops chronic hindfoot instability. Never important complications, like infection, skin necrosis, DVT, there are in both examined groups.
Conclusion. The conservative treatment of the severe ankle sprains and the eventual reconstruction of the ligaments in the complicated outcomes is a less expensive method than the early repair of the ligaments, but the better quality of the results by this last method makes, in opinion of the author, preferable the primary repair of the ruptures of the lateral ligaments of the ankle in the youngs and in the athletes.

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