Ankle Ligament Reconstruction Surgery

The ankle ligament is an important structure to maintain the stability of the ankle joint. The ankle joint ligament injury is often an integral part of the traumatic pathology of the ankle joint fracture and dislocation. From the trauma mechanism and trauma pathology, the ankle ligament injury and ankle fracture should not be broken. Dislocation is divided into analysis and understanding. Treatment of diseases: ligament injury, acute ligament injury Indication 1. External ligament injury. 2. Inguinal ligament injury. 3. Lower jaw ligament injury. 4. Acute ligament injury of the ankle joint. 5. External ligament injury signs. Preoperative preparation 1. Imaging examination. 2. Special inspection Ankle joint puncture can be found in the ligament injury from the ankle joint into the fracture. Magnetic resonance imaging (MRI) has a good soft tissue resolution, can determine the extent of hematoma in the soft tissue of the ankle, and identify tear, breakage, and damage of the ligament. Surgical procedure Reconstruction of the external malleolus ligament: the early iliac ligament injury was not treated promptly and properly, and the persistent ankle joint function was unstable in the late stage. The indications for the reconstruction of the external ligament were: positive front drawer test, positive varus stress test; Conservative treatments such as exercise, braces and orthopedic shoes are ineffective; symptoms persist and the patient has surgical requirements. Reconstruction is divided into non-enhanced reconstruction surgery and enhanced reconstruction surgery. Non-enhanced reconstruction procedures include tightening the elongated ligament and fixing it through the bone hole, and suturing the ligament surface with the distal periosteal flap of the humerus. The advantage is to restore the normal relationship of the anatomy and preserve the activity of the subtalar joint. The patella tendon affects the weakening of the valgus muscle. The disadvantage is that weak local soft tissue reconstruction is difficult to achieve stability, so it is not suitable for excessively loose joints, lesions with a history of more than 10 years or more, and cases of previous ligament repair surgery.