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Fig. 4 | BMC Musculoskeletal Disorders

Fig. 4

From: The lowest point of fibula (LPF) could be used as a reliable bony landmark for arthroscopic anchor placement of lateral ankle ligaments ----compared with open Broström procedure

Fig. 4

Open procedure was performed in a acute lateral ankle ligament injuried patient with talar insertional rupture of sATFL and fibular insertional rupture of iATFL and CFL. Before excise the inferior extensor retinaculum (IER) and capsule, the PDS II suture was penetrated deep through the iATFL and arciform fiber under arthroscopy. A: The penetrating point was located just between the iATFL and CFL and could provide firmly tension to both ligament by one single suture in following open procedure (orange solid arrow: the longitudinal axies of fibule, Peroneal. T: peroneal tendon, sATFL: superior bundle of ATFL, iATFL: inferior bundle of iATFL). B: The ruptured ligaments were sutured by three suture anchors (one implanted into talar insertion, and two implanted into fibula insertion)

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