Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide

The current literature offers reconstruction options after a failed Brostrom-Gould but fails to demonstrate a durable option with multiple points of fixation in more than one anatomic plane without compromising adjacent soft tissue. This new and innovative surgical technique guide displays the use o...

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Main Authors: Madison Leyk, DPM, Scott Jorgensen, DPM, FACFAS, Kristen Brett, DPM, AACFAS
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Foot & Ankle Surgery: Techniques, Reports & Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667396725000011
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author Madison Leyk, DPM
Scott Jorgensen, DPM, FACFAS
Kristen Brett, DPM, AACFAS
author_facet Madison Leyk, DPM
Scott Jorgensen, DPM, FACFAS
Kristen Brett, DPM, AACFAS
author_sort Madison Leyk, DPM
collection DOAJ
description The current literature offers reconstruction options after a failed Brostrom-Gould but fails to demonstrate a durable option with multiple points of fixation in more than one anatomic plane without compromising adjacent soft tissue. This new and innovative surgical technique guide displays the use of semitendinosus tendon allograft in 22 ankles between January 2016 and December 2020 for treatment of recurrent lateral ankle instability after Brostrom-Gould failure. The average follow up time was 30 months and three patients were lost to follow up. Patients returned to regular shoe gear on average by 11 weeks. Three postoperative complications required return to the operating room for incision dehiscence or revision reconstruction. Eleven patients required advanced imaging postoperatively due to a new injury and only one patient compromised their reconstruction. In conclusion, our results demonstrate a new, reproducible lateral ankle ligament reconstruction technique that has been able to withstand repeat inversion.
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series Foot & Ankle Surgery: Techniques, Reports & Cases
spelling doaj-art-e9a32f1dbe9f4c0eadc31c6a4e63e24f2025-08-20T03:02:56ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672025-01-015110046610.1016/j.fastrc.2025.100466Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guideMadison Leyk, DPM0Scott Jorgensen, DPM, FACFAS1Kristen Brett, DPM, AACFAS2Podiatric Surgery, Hennepin Healthcare, Minneapolis, MN 55404, USA; Corresponding author at: 730 S 8th St, Minneapolis, Minnesota 55415, USAPodiatric Surgery, Allina Health, Saint Paul, MN 55108, USAPodiatric Surgery, Hennepin Healthcare, Minneapolis, MN 55404, USAThe current literature offers reconstruction options after a failed Brostrom-Gould but fails to demonstrate a durable option with multiple points of fixation in more than one anatomic plane without compromising adjacent soft tissue. This new and innovative surgical technique guide displays the use of semitendinosus tendon allograft in 22 ankles between January 2016 and December 2020 for treatment of recurrent lateral ankle instability after Brostrom-Gould failure. The average follow up time was 30 months and three patients were lost to follow up. Patients returned to regular shoe gear on average by 11 weeks. Three postoperative complications required return to the operating room for incision dehiscence or revision reconstruction. Eleven patients required advanced imaging postoperatively due to a new injury and only one patient compromised their reconstruction. In conclusion, our results demonstrate a new, reproducible lateral ankle ligament reconstruction technique that has been able to withstand repeat inversion.http://www.sciencedirect.com/science/article/pii/S2667396725000011Lateral ankle ligament reconstructionAnatomic reconstructionLateral ankle stabilizationSemitendinosus allograft
spellingShingle Madison Leyk, DPM
Scott Jorgensen, DPM, FACFAS
Kristen Brett, DPM, AACFAS
Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide
Foot & Ankle Surgery: Techniques, Reports & Cases
Lateral ankle ligament reconstruction
Anatomic reconstruction
Lateral ankle stabilization
Semitendinosus allograft
title Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide
title_full Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide
title_fullStr Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide
title_full_unstemmed Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide
title_short Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide
title_sort anatomic lateral ankle reconstruction with tendon allograft after failed brostrom a case series and surgical technique guide
topic Lateral ankle ligament reconstruction
Anatomic reconstruction
Lateral ankle stabilization
Semitendinosus allograft
url http://www.sciencedirect.com/science/article/pii/S2667396725000011
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