Ankle Reconstruction of Lateral Ligaments (Anti-RoLL)

Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. If non-operative treatments fail, then operative ankle stabilization may be required to improve pain and function. If pre-existing ligament structures have been damaged beyond repair or are insufficient to allow repair, then it is appropriate to choose an anatomic reconstructive technique. To complete this technique, we utilize a small diameter Y-Graft soft tissue graft and TenoLok® combination to perform a Percutaneous Ankle Reconstruction of the Lateral Ligaments (Perc-Anti RoLL). The Perc-Anti RoLL technique can be performed percutaneously using fluoroscopic guidance1. The Y-Graft construct is intended to reproduce the natural anatomy of the CFL and ATFL in pathological indications. For indications where the pathology of the CFL is not impaired, TenoLok fixation using a graft can still be used to replace the ATFL only.


TenoLok® Dual Expanding Tenodesis Anchor
The versatile TenoLok® Dual Expanding Tenodesis anchor is used for tenodesis procedures and is designed to provide;

  • Strong tendon-to-bone fixation
  • Reduced tendon damage and tendon wrap
  • A fast, efficient technique

Allograft Tendons
CONMED offers a wide range of allograft choices including;

  • Anterior Tibialis Tendon
  • Posterior Tibialis Tendon
  • Peroneus Longus Tendon
  • Semitendinosus Tendon
  • Gracilis Tendon

Interested in Ankle Reconstruction of Lateral Ligaments (Anti-RoLL) Surgical Technique?


1Glazebrook M, Stone J, Matsui K, Guillo S, Takao M. Percutaneous Ankle Reconstruction of Lateral Ligaments (Perc-Anti RoLL). Foot & ankle international. 2016;37(6):659-64. Epub 2016/02/24.

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