DOI: 10.36347/sjams.2021.v09i04.006

Pages: 524-527

The practice of impact or contact sports often leads to damage to the lateral ligaments of the ankle. Chronic ankle instability accounts for 15 to 25% of sprain sequelae. Several surgical techniques are described to correct this instability in patients who still present discomfort after rehabilitation. The technique of non-anatomical reconstruction, hemi-Castaing (ligamentoplasty using half of the tendon of the short fibula), is one of the techniques that has been most proven. In this work, we report the results of 15 young athletes who underwent hemi-Castaing ligamentoplasty between 2012 and 2018, with a minimum follow-up of 18 months. We assessed patients according to Olerud and Molander Ankle Score (OMAS), Karlson score (KAFS), and analog visual pain scale (VAS). The functional results were excellent. The patients resumed their sporting activity at the same level, at an average of 3.5 months after surgery and rehabilitation. The stability of the ankle is not affected by the removal of the short fibular transplant.