• Clin. Orthop. Relat. Res. · Dec 2002

    Twenty-year results of the Evans operation for lateral instability of the ankle.

    • Olli Korkala, Tuomas Sorvali, Raimo Niskanen, Jussi Haapala, Pekka Tanskanen, and Hannu Kuokkanen.
    • Lahti Central Hospital, Department of Orthopaedics, Lahti, Finland. raimo.niskanen@phks.fi
    • Clin. Orthop. Relat. Res. 2002 Dec 1(405):195-8.

    AbstractTwenty-four patients (25 ankles), operated on using the static modification of the Evans tenodesis for lateral instability, were evaluated 19 to 21 years after surgery. Twelve of the patients (12 ankles) had excellent results, seven patients (eight ankles) had good results, three patients (three ankles) had fair results, and two patients (two ankles) had poor results. The subjective results had no clear correlation to the stress radiographs, which showed minor or moderate anterior talar translation in 10 ankles. Moreover, the difference between the surgically treated and the contralateral ankle was not significant. Static modification of the Evans tenodesis is recommended if an anatomic reconstruction of the lateral ligaments is not feasible (general laxity of joints, reoperation).

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