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Arthroscopic ATFL Repair with Percutaneous Gould Augmentation

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Lateral Ankle Instability

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

  1. 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.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. 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.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  5. Acevedo JI, Mangone PG. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6. https://doi.org/10.1097/BTF.0b013e318229bdb8.

    Article  Google Scholar 

  6. 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.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  CAS  PubMed  Google Scholar 

  8. 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.

    Article  CAS  PubMed  Google Scholar 

  9. 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.

    Article  PubMed  Google Scholar 

  10. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  11. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  12. 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.

    Article  PubMed  Google Scholar 

  13. 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.

    Article  PubMed  Google Scholar 

  14. 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.

    Article  Google Scholar 

  15. 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.

    Article  PubMed  Google Scholar 

  16. 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.

    Article  PubMed  Google Scholar 

  17. van Dijk CN. Ankle arthroscopy techniques developed by the Amsterdam Foot and Ankle School. Berlin: Springer; 2014.

    Google Scholar 

  18. 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.

    Article  PubMed  PubMed Central  Google Scholar 

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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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  • DOI: https://doi.org/10.1007/978-3-662-62763-1_24

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-62762-4

  • Online ISBN: 978-3-662-62763-1

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