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Lateral ankle ligament surgery what you want to know

Tore some ankle ligament?    This is a story of an active male that had lateral ankle ligament reconstruction elsewhere and is here for a 3rd opinion.

Problem:  wound would not close and drains as well as continued unstable ankle.

How solved: removed all prior internal stitches (fiberwire) none absorbable that were used for the ligament repair.    Flushed / power washed the site with 300 liters of pressurized saline to clean any bacteria out.  Sent patient to infectious disease for powerful intravenous antibiotics for 6 weeks.   Repair with none braided smooth and absorbable antibacterial suture with amniotic tissue graft used for reinforcement due infected tissue that had to be removed.

Discussion:  Infections happen even in the most skilled hands and seemingly sterile environments.   Microbes are all over the place. I have steered away from certain braided none absorbable sutures now due to increase incidence of bacterial colonization.    Braids can hide bacteria better & also presents a barrier for antibiotics to get through.     Lateral ankle ligament reconstruction is not very difficult to do, most patients have enough of their own tissue nearby that can be rotated to reconstruct ligaments.

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Serving Southwest Florida Since 2005, Family Foot & Leg Center has 9 convenient locations throughout Collier, Lee, Charlotte, and Sarasota Counties. Offering pediatric to geriatric family care: Ingrown Toenails, Heel Pain, Bunions, Foot / Ankle Arthritis Pain, Plantar Fasciitis, Foot / Ankle Surgery, Custom Orthotics, and Diabetic Wound Care. In office X-rays, ultrasounds, and minor surgical suite exam rooms. Practice powered by EMR and advanced technologies. Home of the Lam Minimal Invasive No-Scar Bunion Surgery! Come Discover Why Patients Love Our 5-Star Foot & Ankle Care! Same Day Appointments! Easy Online Appointment Scheduling!


 

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Kevin Lam

Naples podiatric physician and surgeon. Double Board Certified: American Board of Podiatric Surgery and American Board of Lower Extremity Surgeons.

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