Abstract
The Broström-Gould operation is considered the gold standard in cases of chronic ankle instability that have failed conservative treatment. There is growing interest in arthroscopic techniques, with studies having shown less surgical morbidity, and faster recovery when compared with open surgery.
This technique uses a standard two-portal anterior arthroscopic approach and two bone anchors. Two methods of suture passing are herein described: inside-out and outside-in.
Patients can expect to start weight-bearing at 4 weeks and return to sports at 3 months. Good outcomes, with no major complications, have been reported with the technique here described.
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References
Michels F, Cordier G, Guillo S, Stockmans F, ESKKA-AFAS Ankle Instability Group. Endoscopic ankle lateral ligament graft anatomic reconstruction. Foot Ankle Clin. 2016;21:665–80. https://doi.org/10.1016/j.fcl.2016.04.010.
Aydogan U, Glisson RR, Nunley JA. Extensor retinaculum augmentation reinforces anterior talofibular ligament repair. Clin Orthop. 2006;442:210–5. https://doi.org/10.1097/01.blo.0000183737.43245.26.
Yeo ED, Lee K-T, Sung I, Lee SG, Lee YK. Comparison of all-inside arthroscopic and open techniques for the modified Broström procedure for ankle instability. Foot Ankle Int. 2016;37:1037–45. https://doi.org/10.1177/1071100716666508.
Matsui K, Takao M, Miyamoto W, Matsushita T. Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle. Arch Orthop Trauma Surg. 2016;136:93–100. https://doi.org/10.1007/s00402-015-2342-3.
Acevedo JI, Mangone PG. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6. https://doi.org/10.1097/BTF.0b013e318229bdb8.
Pereira H, Vuurberg G, Spennacchio P, Batista J, D’Hooghe P, Hunt K, van Dijk N. Surgical treatment paradigms of ankle lateral instability, osteochondral defects and impingement. Adv Exp Med Biol. 2018;1059:85–108. https://doi.org/10.1007/978-3-319-76735-2_4.
Vuurberg G, Pereira H, Blankevoort L, van Dijk CN. Anatomic stabilization techniques provide superior results in terms of functional outcome in patients suffering from chronic ankle instability compared to non-anatomic techniques. Knee Surg Sports Traumatol Arthrosc. 2018;26:2183–95. https://doi.org/10.1007/s00167-017-4730-4.
Gould N, Seligson D, Gassman J. Early and late repair of lateral ligament of the ankle. Foot Ankle. 1980;1:84–9. https://doi.org/10.1177/107110078000100206.
Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30:213–7. https://doi.org/10.3113/FAI.2009.0213.
Pereira H, Vuurberg G, Gomes N, Oliveira JM, Ripoll PL, Reis RL, Espregueira-Mendes J, Niek van Dijk C. Arthroscopic repair of ankle instability with all-soft knotless anchors. Arthrosc Tech. 2016;5:e99–e107. https://doi.org/10.1016/j.eats.2015.10.010.
Guillo S, Archbold P, Perera A, Bauer T, Sonnery-Cottet B. Arthroscopic anatomic reconstruction of the lateral ligaments of the ankle with gracilis autograft. Arthrosc Tech. 2014;3:e593–8. https://doi.org/10.1016/j.eats.2014.06.018.
Nery C, Raduan F, Del Buono A, Asaumi ID, Cohen M, Maffulli N. Arthroscopic-assisted Brostrom-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med. 2011;39:2381–8. https://doi.org/10.1177/0363546511416069.
Michels F, Pereira H, Calder J, Matricali G, Glazebrook M, Guillo S, Karlsson J, ESSKA-AFAS Ankle Instability Group, Acevedo J, Batista J, Bauer T, Calder J, Carreira D, Choi W, Corte-Real N, Glazebrook M, Ghorbani A, Giza E, Guillo S, Hunt K, Karlsson J, Kong SW, Lee JW, Michels F, Molloy A, Mangone P, Matsui K, Nery C, Ozeki S, Pearce C, Pereira H, Perera A, Pijnenburg B, Raduan F, Stone J, Takao M, Tourné Y, Vega J. Searching for consensus in the approach to patients with chronic lateral ankle instability: ask the expert. Knee Surg Sports Traumatol Arthrosc. 2018;26:2095–102. https://doi.org/10.1007/s00167-017-4556-0.
Zwiers R, Wiegerinck JI, Murawski CD, Smyth NA, Kennedy JG, van Dijk CN. Surgical treatment for posterior ankle impingement. Arthrosc J Arthrosc Relat Surg. 2013;29:1263–70. https://doi.org/10.1016/j.arthro.2013.01.029.
Acevedo JI, Mangone P. Ankle instability and arthroscopic lateral ligament repair. Foot Ankle Clin. 2015;20:59–69. https://doi.org/10.1016/j.fcl.2014.10.002.
Salat P, Le V, Veljkovic A, Cresswell ME. Imaging in foot and ankle instability. Foot Ankle Clin. 2018;23:499–522.e28. https://doi.org/10.1016/j.fcl.2018.07.011.
van Dijk CN. Ankle arthroscopy techniques developed by the Amsterdam Foot and Ankle School. Berlin: Springer; 2014.
de Leeuw PAJ, Golanó P, Clavero JA, van Dijk CN. Anterior ankle arthroscopy, distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc. 2010;18:594–600. https://doi.org/10.1007/s00167-010-1089-1.
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Diniz, P., Mangone, P.G., Giza, E., Acevedo, J., Pereira, H. (2021). Arthroscopic ATFL Repair with Percutaneous Gould Augmentation. In: Pereira, H., et al. Lateral Ankle Instability. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-62763-1_24
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