Hamstring Autograft for Lateral Ligament Stabilization

• Published in: Current reviews in musculoskeletal medicine Vol. 13; no. 3; pp. 289 - 297
• Main Authors: Patel, Karan A., Cabe, Taylor, Drakos, Mark
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.06.2020
• Subjects: Management of Ankle Instability (M Hogan; Management of Ankle Instability (M Hogan, Section Editor); Medicine; Medicine & Public Health; Minimally Invasive Surgery; Orthopedics; Rehabilitation Medicine; Section Editor; Sports Medicine; Surgery; Surgical Orthopedics; Topical Collection on Management of Ankle Instability; Lateral ankle instability; Hamstring autograft; Broström procedure
• ISSN: 1935-973X; 1935-9748; 1935-9748
• DOI: 10.1007/s12178-020-09623-1

Purpose of Review This paper seeks to review the current literature and trends regarding use of hamstring autograft for lateral ankle instability. Recent Findings Reconstruction of the lateral ankle ligaments using hamstring autograft has been found to be an effective method to treat ankle instability in terms of patient-reported outcomes and objective measures. Biomechanically, reconstruction has been shown to be stronger (load to failure) when compared with the Broström procedure. Clinical studies have demonstrated non-inferiority when compared with the Broström procedure, with one synthetic reconstruction technique demonstrating superior outcomes. Summary Reconstruction of the lateral ankle ligaments using hamstring autograft is especially useful in patients who are at high risk of failure (insufficient soft tissue available for repair, ligamentous laxity, previous failed ligament repair, ossicle > 1 cm, or in the heavier, high-demand athletes).