Single-Incision Broström-Gould Surgery with Peroneal Debridement and Calcaneal Osteotomy

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Anatomy

Background:

• The Broström-Gould procedure is the standard surgical treatment for chronic lateral ankle instability.
• This condition often coexists with hindfoot varus, peroneal tendon tears, and tarsal coalition.
• Concurrent calcaneal osteotomy may correct altered stress loading and prevent future injuries.

Purpose of the Study:

• To describe a modified Broström-Gould technique incorporating a calcaneal osteotomy.
• To achieve ankle stabilization and correct hindfoot deformities in a single incision.
• To evaluate the safety and efficacy of this combined approach.

Main Methods:

• A single incision is used for both the Broström-Gould repair and the calcaneal osteotomy.
• The technique involves anatomic repair of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL).
• A sliding lateralizing calcaneal osteotomy (SLCO) is performed and fixed with screws.

Main Results:

• The described technique allows for simultaneous ligament repair and calcaneal osteotomy without additional incisions.
• This approach offers decreased risk of incision-site complications and improved cosmetic results.
• Previous studies indicate this combined technique is safe and effective.

Conclusions:

• This modified Broström-Gould procedure with a single-incision calcaneal osteotomy is a viable option for chronic lateral ankle instability.
• It effectively addresses ligamentous insufficiency and hindfoot varus deformities.
• The technique aims to improve ankle stability, reduce pain, and facilitate return to activity.