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Abstract

Ankle sprains are among the most common athletic injuries. While the majority heal uneventfully with appropriate conservative measures, chronic mechanical and/or functional instability of the ankle can occur in 20–40% of cases. When conservative treatment fails, surgical stabilization may be indicated. Numerous surgical treatment strategies have been described, including anatomic repair and anatomic and non-anatomic reconstruction techniques. Open and emerging arthroscopic techniques can be considered. The potential for concomitant injuries, including intra-articular, must also be assessed and managed when necessary. Postoperative complications may include persistent instability, wound issues, or nerve damage.

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Further Reading

  • Acevedo J, Mangone P. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6.

    Article  Google Scholar 

  • Acevedo JI, Mangone P. Ankle instability and arthroscopic lateral ligament repair. Foot Ankle Clin. 2015;20:59–69.

    Article  Google Scholar 

  • Acevedo JI, Ortiz C, Golano P, et al. Arthro-Broström lateral ankle stabilization technique: an anatomic study. Am J Sports Med. 2015;43(10):2564–71.

    Article  Google Scholar 

  • Caio N, Fernando R, Angelo B, et al. Arthroscopic-assisted Broström-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med. 2011;39:2381–8.

    Article  Google Scholar 

  • Corte-Real N, Moreira R. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30:213–7.

    Article  Google Scholar 

  • Ferkel RD. Foot and ankle arthroscopy. 2nd ed. Philadelphia: Wolters Kluwer; 2017.

    Google Scholar 

  • Ferkel RD, Chams RN. Chronic lateral instability: arthroscopic findings and long-term results. Foot Ankle Int. 2007;28:24–31.

    Article  Google Scholar 

  • Hinterman B, Boss A, Schafer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med. 2002;30(3):402–9.

    Article  Google Scholar 

  • Hua YH, Chen SY, Li YX, et al. Combination of modified Broström procedure with ankle arthroscopy for chronic ankle instability accompanied by intra-articular symptoms. Arthroscopy. 2010;26:524–8.

    Article  Google Scholar 

  • James C, Ryan R. The “all inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients. J Foot Ankle Surg. 2013;52:568–74.

    Article  Google Scholar 

  • Kelikian AS, Sarrafian SK, et al. Sarrafian’s anatomy of the foot and ankle. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  • Kim ES, Lee KT, Park JS, et al. Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics. 2011; 34(4).

    Google Scholar 

  • Li X, Lin TJ, Busconi BD. Treatment of chronic lateral ankle instability: a modified Broström technique using three suture anchors. J Orthop Surg Res. 2009;4:41.

    Article  Google Scholar 

  • Li H, Hua Y, Li H, et al. Anterior talofibular ligament (ATFL) repair using two suture anchors produced better functional outcomes than using one suture anchor for the treatment of chronic lateral ankle instability. Knee Surg Sports Traumatol Arthrosc. 2020;28(1):221–6.

    Article  CAS  Google Scholar 

  • Lopesa R, Decante C, Geffroyc L, et al. Arthroscopic anatomical reconstruction of the lateral ankle ligaments: a technical simplification. Orthop Traumatol Surg Res. 2016;102:S317–22.

    Article  Google Scholar 

  • Sammarco VJ. Complications of lateral ankle ligament reconstruction. Clin Orthop Relat Res. 2001;391:123–32.

    Article  Google Scholar 

  • Van den Bekerrom MPJ, Oostra RJ, Golanó AP, et al. The anatomy in relation to injury of the lateral collateral ligaments of the ankle: a current concepts review. Clin Anat. 2008;21:619–26.

    Article  Google Scholar 

  • van Dijk CN. Ankle arthroscopy: techniques developed by the Amsterdam Foot and Ankle School. Berlin Heidelberg: Springer-Verlag; 2014.

    Book  Google Scholar 

  • Vega J, Pau G, Alexandro P, et al. All inside arthroscopic lateral collateral repair for ankle instability with a knotless suture anchor technique. Ankle Foot Int. 2013;34:1701–9.

    Article  Google Scholar 

  • Vega J, Peña F, Golanó P. Minor or occult ankle instability as a cause of anterolateral pain after ankle sprain. Knee Surg Sports Traumatol Arthrosc. 2016;24:1116–23.

    Article  Google Scholar 

  • Wang JW, Hua YH, Chen SY, et al. Arthroscopic repair of lateral ankle ligament complex by suture anchor. Arthroscopy. 2014;30(6):766–73.

    Article  Google Scholar 

  • Wei B, Zhang J, Xu X, et al. Surgical anatomy atlas of foot and ankle. Beijing: People’s Military Medical Press; 2015.

    Google Scholar 

  • Wei S, Liu S, Han F, et al. Clinical outcomes of a modified all-inside arthroscopic repair of anterior talofibular ligament for chronic ankle instability. Medicine (Baltimore). 2019;98(36):e16734.

    Article  Google Scholar 

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Hua, Y., Murawski, C.D., Chen, J., Amendola, A., Kaplan, J. (2022). Chronic Ankle Instability. In: Arthroscopic Techniques and Anatomy of the Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-05190-6_8

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  • DOI: https://doi.org/10.1007/978-3-031-05190-6_8

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