Arthroscopic ankle lateral ligament repair with biological augmentation gives excellent results in case of chronic ankle instability

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Guillaume CordierMiki Dalmau-Pastor

Abstract

The open "Broström-Gould" procedure has become the gold standard technique for the treatment of chronic ankle instability. Although arthroscopic techniques treating ankle instability have significantly evolved in the last years, no all arthroscopic Broström-Gould has been described. The aim of the study was to describe the all-arthroscopic Broström-Gould technique [anterior talofibular ligament (ATFL) repair with biological augmentation using the inferior extensor retinaculum (IER)], and to evaluate the clinical results in a group of patients. Fifty-five patients with isolated lateral ankle instability were arthroscopically treated. Arthroscopic ATFL repair with biological augmentation was performed through a two-step procedure. First, the ligament is reattached through an arthroscopic procedure. Next, the ligament is augmented with the IER that is endoscopically grasped. Both the ligament repair and its augmentation with IER were performed with the help of an automatic suture passer and two soft anchors. Characteristics of the patients, and pre- and postoperatively AOFAS and Karlsson scores were recorded. The median preoperative AOFAS score increased from 74 (range 48-84) to 90 (range 63-100). According to the Karlsson score, ...Continue Reading

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Aug 22, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jordi VegaMiki Dalmau-Pastor
Oct 31, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jordi VegaMiki Dalmau-Pastor

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Citations

Dec 1, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J VegaM Dalmau-Pastor
Jun 11, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jordi VegaMiki Dalmau-Pastor
Mar 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Guillaume CordierMiki Dalmau-Pastor
Nov 26, 2020·Injury·Yuan-Wei Zhang, Yun-Feng Rui

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