Reconstruction of the lateral ligaments of the ankle using a regional

periosteal flap.

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Rudert M. Wulker N. Wirth CJ. Journal of Bone & Joint Surgery - British Volume. 79(3):446-51, 1997 May. We have treated 94 patients with chronic instability of the lateral side of the ankle by reconstruction of the ligaments with local periosteal tissue. We reviewed 90 cases after a mean follow-up of 2.8 years (2 to 9) using a questionnaire, clinical examination and radiography. The results on a 100-point ankle score indicated that 81% had a good or excellent result. The periosteal flap-replacement technique allows anatomical reconstruction and does not sacrifice other ligaments or tendons in the foot.