Searching for an Endoscopic All-Inside Classic Broström-Gould Technique

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Ankle sprains are common athletic injuries leading to chronic instability.
• The Broström-Gould procedure is the gold standard for surgical repair.
• Arthroscopic techniques aim to replicate the open Broström-Gould procedure.

Purpose of the Study:

• To present a novel all-inside arthroscopic Broström-Gould technique.
• To evaluate the safety and reproducibility of this minimally invasive approach.
• To compare the arthroscopic repair to the classical open technique.

Main Methods:

• A lateral ankle endoscopy approach utilizing three portals.
• All-inside repair of the anterior talofibular ligament and Gould augmentation.
• Focus on accessing extra-capsular structures like the calcaneofibular ligament and inferior extensor retinaculum.

Main Results:

• The technique provides clear visualization and access to relevant anatomical structures.
• The all-inside arthroscopic repair is safe and reproducible.
• The resulting repair closely resembles the classical open Broström-Gould procedure.

Conclusions:

• Lateral ankle endoscopy enables an effective all-inside Broström-Gould procedure.
• This arthroscopic technique is a safe and reproducible alternative to open surgery.
• It successfully replicates the outcomes of the traditional open Broström-Gould repair.