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Arthroscopic Surgical Technique for Lateral Ankle Ligament Instability
Jorge I Acevedo1, Peter G Mangone2
1Department of Orthopedics, Southeast Orthopedic Specialists, Foot and Ankle Center, 6500 Bowden Road, Suite 103, Jacksonville, FL 32216, USA.
Foot and Ankle Clinics
|January 25, 2021
Summary
Arthroscopic lateral ankle ligament repair offers comparable results to open surgery, with benefits like reduced swelling and improved appearance. An optional internal brace can enhance strength and speed recovery, leading to high patient satisfaction.
Area of Science:
- Orthopedics
- Sports Medicine
- Surgical Innovation
Background:
- Lateral ankle instability is a common condition.
- Traditional open Brostrom-Gould procedure is the standard treatment.
- Arthroscopic techniques are emerging as viable alternatives.
Purpose of the Study:
- To describe the authors' technique for arthroscopic lateral ankle ligament repair.
- To present data supporting the biomechanical equivalency of arthroscopic repair to the open Brostrom-Gould procedure.
- To evaluate the outcomes of arthroscopic repair, with and without an optional internal brace.
Main Methods:
- Arthroscopic surgical technique for lateral ankle ligament repair.
- Biomechanical testing to compare with open repair.
- Clinical outcome assessment including patient satisfaction and recovery time.
Main Results:
- Arthroscopic repair demonstrates biomechanical equivalency to the open Brostrom-Gould procedure.
- Arthroscopic repair leads to reduced swelling and improved cosmesis.
- The optional internal brace provides additional strength and facilitates quicker recovery.
- Both arthroscopic techniques (with and without brace) show positive clinical outcomes and high patient satisfaction rates.
Conclusions:
- Arthroscopic lateral ankle ligament repair is a safe and effective alternative to open surgery.
- The technique offers advantages in terms of swelling and cosmesis.
- An optional internal brace can further enhance repair strength and accelerate patient recovery.
- High patient satisfaction rates support the use of arthroscopic repair for lateral ankle instability.

