{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T07:13:30Z","timestamp":1793258010111,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[1980,9,1]],"date-time":"1980-09-01T00:00:00Z","timestamp":336614400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Foot &amp; Ankle"],"published-print":{"date-parts":[[1980,9]]},"abstract":"<jats:p>Utilizing an apparatus for separately testing the status of the anterior talofibular and the calaneofibular ligaments of the ankle in 25 healthy, 15 to 30-year-old adults, it became apparent that the stability of the ankle depends primarily upon the integrity of the anterior talofibular ligament. When the \u201cfore n' aft\u201d stress measurement exceeds 4 mm, a positive anterior drawer test is elicited, and the ankle ligament needs surgical repair. Tibial talar tilt normals ranged up to 18\u00b0.<\/jats:p>\n                  <jats:p>Repair (early and late) is accomplished by suturing what one finds (there is always some ligament present) and reinforcing the anterior talofibular ligament repair with overlap of the nearby lateral talocalcaneal ligament plus the marginal ankle retinaculum. Four weeks in a plaster of paris walking cast are followed by use of Ace bandages for 2 weeks. Light activity is begun 6 weeks after repair, and activity of choice is begun 8 weeks after repair. Repeat stress testing is performed at 3 months postsurgery, and a questionnaire is completed at the same time. On a point system (1 to 10) reviewing pain, stability, and swelling, the results in 50 cases rate from 8 to 10, with a lower rating improving with more time. Surgical time is approximately 30 minutes.<\/jats:p>\n                  <jats:p>There seems to be no need for more radical surgery utilizing other muscles. The senior author has employed this surgery for the past 19 years with approximately 165 cases. Only 50 patients with proper 3-month postoperative stress testing and questionnaire follow-up, who were operated upon 1 or more years ago, are recorded here.<\/jats:p>","DOI":"10.1177\/107110078000100206","type":"journal-article","created":{"date-parts":[[2013,3,3]],"date-time":"2013-03-03T03:24:58Z","timestamp":1362281098000},"page":"84-89","source":"Crossref","is-referenced-by-count":593,"title":["Early and Late Repair of Lateral Ligament of the Ankle"],"prefix":"10.1177","volume":"1","author":[{"given":"Nathaniel","family":"Gould","sequence":"first","affiliation":[{"name":"University of Vermont College of Medicine Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Seligson","sequence":"additional","affiliation":[{"name":"University of Vermont College of Medicine Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Gassman","sequence":"additional","affiliation":[{"name":"University of Vermont College of Medicine Burlington, Vermont"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1980,9,1]]},"reference":[{"key":"atypb1","unstructured":"Choi\u00a0J.Vital and Health Statistics. 10."},{"key":"atypb2","first-page":"49","volume":"123","year":"1977","journal-title":"Clin. Orthop. Rel. Res."},{"key":"atypb3","volume-title":"The Joints of the Ankle","year":"1976"},{"key":"atypb4","first-page":"3942","volume":"8","year":"1980","journal-title":"Am. J. Sports Med."},{"key":"atypb5","unstructured":"Watson-Jones\u00a0R.Fractures and Joint Injuries. 4th ed.Williams & Wilkins: Baltimore; 1955:817-823."},{"key":"atypb6","doi-asserted-by":"crossref","unstructured":"Anderson\u00a0K.J.,Lecocq\u00a0J.E.,Lecocq\u00a0E.A.Recurrent anterior subluxation of the ankle joint J. Bone Joint Surg. 1952;34A:853","DOI":"10.2106\/00004623-195234040-00012"},{"key":"atypb7","unstructured":"ASI. Instruction Manual for the Autogen 1700. ASI, Berkeley, Calif. Brostrom, L.: Sprained ankles. I. Anatomic lesions in recent sprains. Acta Chir. Scand., 128:483, 1964"},{"key":"atypb8","unstructured":"Brostrom\u00a0L.Sprained ankles, V. Treatment and prognosis in recent ligament ruptures Acta Chir. Scand. 1966;132:537"},{"key":"atypb9","unstructured":"CoxJ.S.HewesT.F.: Normal talar tilt angle. Presented at Meeting of Western Orthopaedics Association, Colorado Springs, Colorado, 1977"},{"key":"atypb10","doi-asserted-by":"crossref","unstructured":"Dziob\u00a0J.M.Ligamentous injuries about the ankle joint Am. J. Surg. 1956;91:692","DOI":"10.1016\/0002-9610(56)90305-1"},{"key":"atypb11","doi-asserted-by":"crossref","unstructured":"Elmslie\u00a0R. C.Recurrent subluxation of the ankle joint Ann. Surg. 1934;100:364","DOI":"10.1097\/00000658-193408000-00012"},{"key":"atypb12","doi-asserted-by":"crossref","unstructured":"Freeman\u00a0M.A.R.Treatment of ruptures of the lateral ligament of the ankle J. Bone Joint Surg. 1965;47B:661","DOI":"10.1302\/0301-620X.47B4.661"},{"key":"atypb13","doi-asserted-by":"crossref","unstructured":"Hughes\u00a0J.R.Sprains and subluxations of the ankle joint Proc. R. Med. Soc. 1942;35:765","DOI":"10.1177\/003591574203501211"},{"key":"atypb14","doi-asserted-by":"crossref","unstructured":"Landeros\u00a0O.,Frost\u00a0H.M.,Higgins\u00a0C.C.Post traumatic anterior ankle instability Clin. Orthop. Rel. Res. 1968;56:169","DOI":"10.1097\/00003086-196801000-00019"},{"key":"atypb15","unstructured":"Laurin\u00a0C.,Mathieu\u00a0J.,Levesque\u00a0H.P.Le signe du tiroir de la cheville Laxite sagittale normale de la cheville. Union Med. Can. 1973;102:2116-2121"},{"key":"atypb16","unstructured":"Laurin\u00a0C.A.,Ouellet\u00a0R.,St. Jacques\u00a0R.Talar and subtalar tilt: an experimental investigation Can. J. Surg. 1968;11:270"},{"key":"atypb17","doi-asserted-by":"crossref","unstructured":"Leonard\u00a0M.H.Injuries of the lateral ligaments of the ankle J. Bone Joint Surg. 1949;31A:373","DOI":"10.2106\/00004623-194931020-00013"},{"key":"atypb18","doi-asserted-by":"crossref","unstructured":"Lindstrand\u00a0A.New aspects in diagnosis of lateral ankle sprains Orthop. Clin. North Am. 1976;74:247","DOI":"10.1016\/S0030-5898(20)31189-5"},{"key":"atypb19","unstructured":"Makhani\u00a0J.S.Diagnosis and treatment of acute ruptures of the various components of the lateral ligaments of the ankle Am. J. Orthop. 1962;4:224"},{"key":"atypb20","doi-asserted-by":"crossref","unstructured":"Nevin\u00a0J.E.,Post\u00a0R.H.Lateral ligament ankle sprains J. Trauma. 1964;4:292","DOI":"10.1097\/00005373-196405000-00003"},{"key":"atypb21","unstructured":"Pennal\u00a0G.F.Subluxation of the ankle Can. Med. Assoc. J. 1943;49:"},{"key":"atypb22","doi-asserted-by":"crossref","unstructured":"Rubin\u00a0G.,Witten\u00a0M.The talar tilt angle and the fibular collateral ligaments J. Bone Joint Surg. 1960;42A:311","DOI":"10.2106\/00004623-196042020-00010"}],"container-title":["Foot &amp; Ankle"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110078000100206","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/107110078000100206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:16:52Z","timestamp":1777411012000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/107110078000100206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1980,9]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1980,9]]}},"alternative-id":["10.1177\/107110078000100206"],"URL":"https:\/\/doi.org\/10.1177\/107110078000100206","relation":{},"ISSN":["0198-0211"],"issn-type":[{"value":"0198-0211","type":"print"}],"subject":[],"published":{"date-parts":[[1980,9]]}}}