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Reconstruction of the lateral ligaments of the ankle using solvent-dried and gamma-irradiated allogeneic fascia lata

K. Nakata, MD, PhD, Assistant Professor1; K. Shino, MD, PhD, Professor2; S. Horibe, MD, PhD, Director of Orthopaedic Sports Medicine3; T. Natsu-ume, MD, PhD, Orthopaedic Surgeon3; T. Mae, Postgraduate Student1; and T. Ochi, MD, PhD, Professor1

1 Department of Orthopaedic Surgery, Osaka University Medical School, 2-2 Yamadaoka, Suita, Osaka 55, Japan.
2 Division of Physical Therapy, Osaka Prefectural College of Health Sciences, 3-7-30 Habikino, Habikino, Osaka 583, Japan.
3 Osaka Rosai Hospital, 1179-3 Nagasone-cho, Sakai, Osaka 591, Japan.

Correspondence should be sent to Dr K. Shino.

We have described a method of anatomical reconstruction of the lateral ligaments of the ankles with instability using allogeneic fascia lata dried with solvents and sterilised with gamma irradiation. Twenty ankles of 20 patients were assessed objectively and subjectively after a mean follow-up of 4.2 years (3.1 to 10). The result was excellent in 12 (60%), good in seven (35%) and fair in one (5%); none had a poor result. Stress radiography showed that the angle of talar tilt improved from 12.3 ± 4.2° (mean ±SD) to 5.9 ± 3.0° and that the anterior drawer distance decreased from 9.2 ± 3.9 mm to 4.4 ± 2.5 mm. Neither infection nor limitation of movement occurred after operation. Fascia lata allografts provide a good alternative to autogenous grafts such as the peroneus brevis tendon.




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