Modified Watson Jones Technique for Lateral Ankle Stabilization Utilizing the Split Peroneus Longus

Elizabeth A Sanders, Jurgen H Fernandez and Mark J Mendeszoon

Department of Foot and Ankle-Orthopedic Surgery, Precision Orthopaedic Specialties, USA

^*Correspondance to: Elizabeth A Sanders 

 PDF  Full Text DOI: 10.25107/2474-1647.2093

Abstract

Fourteen percent of patients require re-operation following a Brostrom anatomical augmentation. Another study demonstrated 6% failure of a Brostrom augmentation secondary to athletic traumatic injuries. Failure of primary anatomical augmentation has been noted to occur in patients with poor quality tissue, generalized ligamentous laxity, or patients with longstanding instability greater than ten years. After failed anatomic lateral ankle stabilization procedures, reconstructive tenodesis procedures have been described. The traditional Watson-Jones is described utilizing the entire peroneus brevis tendon, leaving its distal insertion intact. Several modifications of the procedure have been described. Harvesting peroneus longus tendon permits for greater length of the allograft and less fraying of the fibers as compared to the peroneus brevis tendon, allowing for easier tubularization and bone tunnel passage. We describe senior author’s (MJM) modified Watson-Jones lateral ankle stabilization technique utilizing the split peroneus longus. In the senior author’s experience, a modification of the Watson-Jones reconstruction procedure utilizing the split peroneus longus is effective and reliable as a limb salvage procedure after a failed anatomical lateral ankle reconstruction or following a failed anatomic lateral ankle stabilization procedure.

Keywords

Lateral Ankle Instability; Lateral Ankle Stabilization; Watson-Jones; Brostrom; Revisional Lateral Ankle Reconstruction

Cite the article

Sanders EA, Fernandez JH, Mendeszoon MJ. Modified Watson Jones Technique for Lateral Ankle Stabilization Utilizing the Split Peroneus Longus. Clin Surg. 2018; 3: 2093.