Ligamentization as an explanation for the stability of periosteal flap repair in the replacement of the fibular ligament system

The gold standard in the operative treatment of chronic insufficiency of the lateral ligaments of the ankle joint is replacement with a tendon (tenodesis). The disadvantage of this method is limitation of movement. The results of the replacement of ligaments with a periosteal flap are similar to the...

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Bibliographic Details
Published in:Chirurg 1997-11, Vol.68 (11), p.1146-1149
Main Authors: Nachtkamp, J, Klosterhalfen, B, Pott, S, Magin, M N, Paar, O
Format: Article
Language:ger
Subjects:
Biopsy
Connective Tissue - pathology
Humans
Lateral Ligament, Ankle - injuries
Lateral Ligament, Ankle - pathology
Lateral Ligament, Ankle - surgery
Periosteum - pathology
Periosteum - transplantation
Postoperative Period
Rupture
Surgical Flaps
Time Factors
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Summary:The gold standard in the operative treatment of chronic insufficiency of the lateral ligaments of the ankle joint is replacement with a tendon (tenodesis). The disadvantage of this method is limitation of movement. The results of the replacement of ligaments with a periosteal flap are similar to the results after tenodesis, but the rate of complications is significant lower. We investigated the histological changes in periosteal flaps in patients. We saw an alignment of the collagenous fibers in the periosteal flap 8-12 weeks after the operation. The results are statistically significant. The conclusion is that the periosteal flap in the replacement of ligaments changes into a ligament-like structure.
ISSN:0009-4722