Inestabilidad crónica de tobilloactualización

Abstract

Lateral ankle sprains are among the most common injuries incurred during daily life and sports participation. Up to 20% of these injuries result in the development of chronic ankle instability. In clinical examination revealed a reference to a feeling of lack of control over the joint. Treatment should start with a functional and preventive rehabilitation. If conservative treatment is not enough, the initial surgical option is direct or anatomical ligament repair when the quality of the ruptured ligaments permits. Anatomical reconstruction with autograft or allograft should be performed when the ruptured ligaments are attenuated. Non-anatomical reconstruction should be reserved for unsuccessful cases after anatomical repair or in cases where no adequate ligament remnants are available for reconstruction. Ankle arthroscopy is an important adjunct to ligamentous repair and should be performed at the time of repair to identify and address intra-articular conditions associated with chronic ankle instability.