Advertisement

Collateral Ankle Ligament Repair

  • Ryan T. Scott
  • James M. Cottom
  • Matthew D. Sorensen
  • Mark A. Prissel
Chapter

Abstract

Patients with chronic lateral ankle instability may become surgical candidates when they have not responded favorably to non-operative care. Lateral ankle stabilization procedures are often grouped into two general groups, anatomic and nonanatomic repairs. Anatomic repair of the anterior talofibular ligament was first described by Broström in 1966. Gould later modified this technique in 1980. Traditionally, lateral ankle stabilization is performed via an open approach. The open techniques remain acceptable, predictable, and efficient with the advantage of direct visualization of all targeted structures and simultaneous management of any peroneal tendon pathology. In recent years however, numerous authors have described and advocated for arthroscopic and arthroscopically assisted techniques for lateral ankle stabilization. These techniques have the advantage over traditional open techniques of addressing intra-articular pathology at the same time as the ligamentous instability. Both open and arthroscopic techniques will be detailed within this chapter. Beyond lateral ankle ligament stabilization, surgical repair may be required for deltoid insufficiency and/or ligamentous injury to the syndesmosis secondary to isolated soft tissue injuries, not involving malleolar fracture.

Keywords

Ankle instability Ligamentous laxity Ankle sprain Allograft reconstruction Anatomic repair Broström Deltoid Syndesmosis ATFL CFL 

References

  1. 1.
    Colville M. Surgical treatment of the unstable ankle. J Am Acad Orthop Surg. 1998;6:368–77.CrossRefGoogle Scholar
  2. 2.
    Broström L. Sprained ankles, VI: surgical treatment of “chronic” ligament ruptures. Acta Chir Scand. 1966;243:551–65.Google Scholar
  3. 3.
    Gould N, Seligson D, Gassman J. Early and late repair of the lateral ligaments of the ankle. Foot Ankle. 1980;1:84–9.CrossRefGoogle Scholar
  4. 4.
    Acevedo J, Mangone P. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6.CrossRefGoogle Scholar
  5. 5.
    Corte-Real N, Moreira R. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30:213–7.CrossRefGoogle Scholar
  6. 6.
    Nery C, Raduan R, Del Buono A, Asaumi I, Cohen M, Maffulli N. Arthroscopic-assisted Broström-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med. 2011;39:2381–8.CrossRefGoogle Scholar
  7. 7.
    Cottom JM, Rigby RB. The “All Inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients. J Foot Ankle Surg. 2013;52:568–74.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ryan T. Scott
    • 1
  • James M. Cottom
    • 2
  • Matthew D. Sorensen
    • 3
  • Mark A. Prissel
    • 4
  1. 1.The CORE InstitutePhoenixUSA
  2. 2.Florida Orthopedic Foot & Ankle CenterSarasotaUSA
  3. 3.Weil Foot and Ankle Institute, Foot & Ankle SurgeryChicagoUSA
  4. 4.Orthopedic Foot & Ankle CenterWorthingtonUSA

Personalised recommendations