Mini-Incision Technique for Lateral Ankle Ligament Repair in Chronic Instability

  • Gian Luigi Canata
  • Valentina Casale
  • Luca Pulici


The majority of ankle sprains are caused by an inversion mechanism, which usually involves the lateral ligament complex. The most used classification incorporates anatomical damage with patient’s symptoms and grades the injuries from I to III.

Generally, conservative management is preferred for the treatment of grade I and II ankle sprains to restore the mechanical joint stability through neuromuscular reprogramming, foot evertor muscles reinforcement, and muscular pre-activation.

However, if the patient fails to respond to conservative management after 6 months, a surgical stabilization is required.

Over the years, numerous surgical procedures have been reported for the treatment of the chronic ankle instability, but the Broström-Gould reconstruction technique is still considered the “gold standard.”

The mini-invasive lateral reefing technique described in this chapter shows excellent results comparing favorably to other open or arthroscopic approaches.


Lateral ankle ligaments Ankle sprain management Broström-Gould procedure Lateral ankle ligament reefing 



Anterior talofibular ligament


Calcaneofibular ligament


Foot and ankle ability measure


Magnetic resonance imaging


Posterior talofibular ligament


Range of movement


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Copyright information

© ISAKOS 2019

Authors and Affiliations

  • Gian Luigi Canata
    • 1
  • Valentina Casale
    • 1
  • Luca Pulici
    • 2
    • 3
  1. 1.Centre of Sports Traumatology, Koelliker HospitalTorinoItaly
  2. 2.Sports Traumatology Unit, Department of Knee OrthopedicHumanitas Research HospitalMilanItaly
  3. 3.FC Internazionale Medical StaffMilanItaly

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