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Related Experiment Video

Updated: Feb 2, 2026

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
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Chronic Lateral Ankle Instability: Open Surgical Management.

David A Porter1, Kreigh A Kamman2

  • 1Methodist Sports Medicine, Volunteer Clinical Faculty, Department of Orthopedics, Indiana University, 201 Pennsylvania Parkway, Suite 100, Indianapolis, IN 46280, USA.

Foot and Ankle Clinics
|November 12, 2018
PubMed
Summary

Open surgical reconstruction effectively restores ankle stability for chronic lateral instability, allowing a return to sports and daily activities. This method avoids tendon sacrifice and promotes full motion and reliable stability.

Keywords:
Ankle instabilityBone tunnelingLateral ankle ligamentModified Brostrom procedureOpen managementVideo procedure

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Chronic lateral ankle instability often requires surgical intervention for effective treatment.
  • Intra-articular pathology may coexist and requires assessment prior to reconstruction.
  • Open surgical techniques are established for restoring ankle stability.

Purpose of the Study:

  • To describe an open surgical reconstruction for chronic lateral ankle instability.
  • To detail a method that restores stability, full motion, and enables return to activity.
  • To present a rehabilitation protocol and address specific patient populations.

Main Methods:

  • Open surgical reconstruction utilizing anatomic shortening and reattachment into a bony trough.
  • Pre-operative ankle arthroscopy to identify and address intra-articular pathology.
  • Implementation of an aggressive post-operative rehabilitation protocol.

Main Results:

  • The described open procedure reliably restores ankle stability.
  • Patients can return to full motion and an active lifestyle.
  • The technique avoids tendon sacrifice or the need for tenodesis.

Conclusions:

  • Open surgical reconstruction is a proven and effective treatment for chronic lateral ankle instability.
  • Anatomic shortening and reattachment provide reliable stability and full motion.
  • The described approach facilitates a return to sport and daily activities.