Brief Article
Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. Apr 18, 2011; 2(4): 31-36
Published online Apr 18, 2011. doi: 10.5312/wjo.v2.i4.31
Delayed reconstruction of lateral complex structures of the ankle
Gordon L Slater, Alejandro E Pino, Martin O’Malley
Gordon L Slater, Sports Foot and Ankle Surgery, Edgecliff Sydney NSW 2027, Australia
Alejandro E Pino, Hospital for Special Surgery, Department of Foot and Ankle Surgery, 535 E 70 St., New York, NY 10021, United States
Martin O’Malley, Hospital for Special Surgery, Department of Foot and Ankle Surgery, 535 E 70th St., New York, NY 10021, United States
Author contributions: Slater GL, Pino AE and O’Malley M contributed equally to writing this work; Slater GL contributed data.
Correspondence to: Gordon L Slater, MD, Sports Foot and Ankle Surgery, Level 2, Suite 211, 204-233 New South Head Road, Edgecliff NSW 2027, Australia.
Telephone: +61-1300388778 Fax: +61-60409555
Received: December 29, 2010
Revised: April 8, 2011
Accepted: April 15, 2011
Published online: April 18, 2011

Lateral ankle instability is one of the most common and well-recognized conditions presenting to foot and ankle surgeons. It may exist as an isolated entity or in conjunction with other concomitant pathology, making it important to appropriately diagnose and identify other conditions that may need to be addressed as part of treatment. These associated conditions may be a source of chronic pain, even when the instability has been appropriately treated, or may lead to failure of treatment by predisposing the patient to ankle inversion injuries. The primary goal of this editorial is to provide a brief summary of the common techniques used in the delayed reconstruction of lateral ankle ligamentous injuries and present a method we have successfully employed for over 15 years. We will also briefly discuss the diagnosis and treatment of the more common associated conditions, which are important to identify to achieve satisfactory results for the patient. We present the outcomes of 250 consecutive reconstructions performed over the last 10 years and describe our operative technique for addressing lateral ankle ligamentous injuries.

Keywords: Lateral ankle ligaments, Ankle instability, Ankle ligament reconstruction, Anatomic ligament reconstruction, Ankle sprain