Chronic Lateral Ankle Instability Repair Technique Using All-Inside and All-Knotless Soft-Tissue Anchors

Chronic lateral ankle instability (CLAI) is common in sports. Whereas traditional open Broström-Gould surgery remains the gold standard for anterior talofibular ligament repair, advances in arthroscopic techniques with knotless suture anchors offer promising alternatives, reducing recovery time and complications. This article presents a minimally invasive arthroscopic technique for anterior talofibular ligament reconstruction with knotless anchors, reattaching the ligament to the fibula and minimizing risks of knot irritation and impingement. Postoperatively, patients follow a structured rehabilitation protocol, returning to full activity by 12 weeks. Compared with open techniques, this approach yields superior functional outcomes and esthetic benefits and addresses intra-articular issues associated with CLAI. The knotless arthroscopic technique yields a stable ligament repair with fewer neurologic risks, enhancing patient satisfaction and success. This procedure presents a safe, effective alternative for CLAI treatment.