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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Updated: Dec 9, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Chronic Lateral Ankle Instability: Surgical Management.

Eric Ferkel¹, Shawn Nguyen¹, Cory Kwong¹

¹Southern California Orthopedic Institute, 6815 Noble Avenue, Suite 200, Van Nuys, CA 91405, USA.

Clinics in Sports Medicine

|September 7, 2020

Summary

Surgical repair effectively treats chronic lateral ankle instability after nonoperative methods fail. Anatomic reconstruction offers stability and return to activity, with augmentation options available for specific patient groups.

Keywords:

Arthroscopic treatment of lateral ankle ligament instability Chronic lateral ankle instability Modified Broström procedure Suture tape augmentation for lateral ankle ligament instability

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Published on: January 23, 2018

Area of Science:

Orthopedic Surgery
Sports Medicine
Anatomy

Background:

Chronic lateral ankle ligament instability often persists despite nonoperative treatments.
Surgical intervention is indicated for patients who have not responded to conservative management.
Intra-articular pathology can coexist with lateral ankle instability, requiring concurrent treatment.

Purpose of the Study:

To evaluate the efficacy of surgical management for chronic lateral ankle ligament instability.
To compare open anatomic reconstruction with arthroscopic approaches.
To identify patient factors and techniques influencing surgical outcomes.

Main Methods:

Review of surgical techniques for lateral ankle ligament reconstruction, including open anatomic repair and arthroscopic stabilization.
Discussion of adjunctive procedures such as ankle arthroscopy for intra-articular disorders.
Consideration of augmentation options like allograft or suture tape for specific patient populations.

Main Results:

Open anatomic reconstruction provides stability, full range of motion, and facilitates return to sport.
Ankle arthroscopy is recommended for addressing intra-articular issues prior to ligament stabilization.
Allograft or suture tape augmentation benefits patients with generalized laxity, high BMI, or elite athletes, and may be useful in revisions.

Conclusions:

Surgical management, particularly open anatomic reconstruction, is an effective treatment for chronic lateral ankle instability.
Arthroscopic stabilization shows promise, though long-term outcome data is still developing.
Augmentation strategies enhance surgical outcomes in select patient groups, including revision cases.