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Related Concept Videos

Ankle Joint01:10

Ankle Joint

1.9K
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...
1.9K

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Related Experiment Video

Updated: Sep 15, 2025

The Modified Single-working Portal Technique Using Lasso-loop Stitch with Needle for Arthroscopic Subscapularis Repair
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Chronic Lateral Ankle Instability Repair Technique Using All-Inside and All-Knotless Soft-Tissue Anchors.

Bruno S Pereira1,2,3,4,5, Maria Inês Peixoto6, Luís Fabião7

  • 1Clínica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.

Arthroscopy Techniques
|July 14, 2025
PubMed
Summary

Knotless arthroscopic surgery offers a minimally invasive option for chronic lateral ankle instability (CLAI). This technique provides stable anterior talofibular ligament repair with faster recovery and improved outcomes compared to open surgery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Chronic lateral ankle instability (CLAI) frequently affects athletes.
  • The open Broström-Gould procedure is the standard for anterior talofibular ligament repair.
  • Arthroscopic techniques with knotless anchors are emerging as viable alternatives.

Purpose of the Study:

  • To present a minimally invasive arthroscopic technique for anterior talofibular ligament reconstruction using knotless anchors.
  • To evaluate the efficacy and benefits of this arthroscopic approach for CLAI.

Main Methods:

  • Arthroscopic anterior talofibular ligament reconstruction with knotless suture anchors.
  • Reattachment of the ligament to the fibula.
  • Postoperative structured rehabilitation protocol.

Main Results:

  • The knotless arthroscopic technique provides stable ligament repair.
  • Reduced risks of knot irritation and impingement compared to open surgery.
  • Superior functional outcomes and esthetic benefits observed.

Conclusions:

  • This knotless arthroscopic technique is a safe and effective treatment for CLAI.
  • It offers advantages over open surgery, including fewer neurologic risks and enhanced patient satisfaction.
  • The procedure effectively addresses intra-articular issues associated with CLAI.