Reverse Evans Peroneus Brevis Medial Ankle Stabilization for Balancing Valgus Ankle Contracture during Total Ankle Replacement

Abstract: Medial ankle instability secondary to deltoid ligament insufficiency is frequently encountered when performing total ankle replacement and remains a challenge. In the present techniques report, we describe a “reverse” Evans peroneus brevis tendon nonanatomic deltoid ligament reconstruction for medial ankle stabilization harvested through limited incisions using simple topographic anatomic landmarks. The harvested peroneus brevis tendon is brought through a drill hole in the talus from laterally to medially, aiming for the junction of the talar neck and body plantar to the midline

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Reverse Evans Peroneus Brevis Medial Ankle Stabilization for Balancing Valgus Ankle Contracture during Total Ankle Replacement

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