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Updated: Oct 29, 2025
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Revision Lateral Ankle Reconstruction 40 Years After Chrisman-Snook Procedure: A Case Report
Justin E Hellwinkel1, Jamie E Confino, J Turner Vosseller
1Department of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, New York.
Case:
A 70-year-old active woman presented with lateral ankle instability 40 years after a lateral ankle reconstruction procedure. Examination demonstrated gross instability, and advanced imaging revealed attenuation of her previous graft. She underwent anatomic reconstruction through a modified Brostrom-Gould technique and was able to return to hiking without pain.
Conclusion:
Recurrent lateral ankle instability after reconstruction represents a unique challenge for orthopaedic surgeons. Utilization of a modified Brostrom-Gould procedure with suture tape augmentation is a promising alternative to allograft or autograft reconstruction for patients with active lifestyle goals in the context of recurrent instability.
