The authors report 46 cases of instability of the hindfoot involving the @entity2720 , with or without combined involvement of the tibiotalar ligaments, which were treated using Castaing's technique of ligament plasty between 1988 and 1999. Preoperatively, the @entity1 complained of instability, recurrent sprains and @entity158 . A @entity1817 was present in 39%. Forty six @entity1 underwent NMR examination which demonstrated @entity75 in every case. The results were evaluated using Kitaoka's score. With an average follow-up of 5.7 years after operation, instability was no more present in 80% and 63% were painfree. Clinical examination showed a reduction in the range of inversion of the hindfoot in 43%, with values between 50 and 70% of the contralateral foot, but without any significant clinical repercussion. Incipient @entity571 was noted on xrays in three @entity1 . The overall results were very good in 82%, fair in 11% and poor in 7%. Eighty seven percent of the @entity1 were satisfied with the result of the operation. The authors found a significant correlation between fair or poor results and a body mass index above 26 kg/m2 or constitutional laxity. Besides, results got worse as the time interval between the first sprain and the operative treatment increased. Comparison of these results with those of other techniques shows that they are essentially similar. Ligament plasty using Castaing's technique is a reliable operation but direct repair of ruptured ligaments at the @entity2720 should be preferred for primary treatment, leaving the possibility for secondary ligament plasty if necessary.

[Ankle instability with involvement of the XXXX demonstrated by MRI. Results with the Castaing procedure in 45 cases].

@entity1 :: ('9606', 'Species') :: ['patients'] @entity571 :: ('MESH:D010003', 'Disease') :: ['osteoarthritis'] @entity75 :: ('MESH:D001927', 'Disease') :: ['capsuloligamentous lesions'] @entity1817 :: ('MESH:D012804', 'Disease') :: ['tarsal sinus syndrome'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity2720 :: ('MESH:D007592', 'Disease') :: ['subtalar joint']
@entity2720 :: (MESH:D007592,Disease) :: ['subtalar joint']
