The Stabilization Technique for Ankle Lateral Repair: An All-Inside 2-Portal Arthroscopic Repair With Knotless Suture...

Lateral ankle sprains are among the most frequent injuries encountered in sports, with the anterior talofibular ligament being the structure most often affected. Although many individuals achieve full recovery, a substantial number experience chronic lateral ankle instability, which presents with recurrent sprains, mechanical instability, and ongoing discomfort. Although the open Broström-Gould repair remains the gold standard, arthroscopic techniques have gained attraction due to their minimally invasive nature, improved visualization, and faster recovery. In this article, we describe an all-inside arthroscopic technique for anterior talofibular ligament repair using knotless suture anchors with suture tape augmentation. This approach enables precise anatomic repair, reduces complications associated with knot irritation, and provides enhanced biomechanical stability for athletes.