Arthroscopic Broström repair with Gould augmentation via an accessory anterolateral port for lateral instability of the ankle

Matsui, Kentaro; Takao, Masato; Miyamoto, Wataru; Innami, Ken; Matsushita, T.

doi:10.1007/s00402-014-2049-x

Cited by 78 publications

(78 citation statements)

References 12 publications

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“…Recently, several authors have reported good results using an arthroscopy-assisted lateral ligament repair [ 1 , 5 – 7 , 12 , 14 , 15 , 18 ]. Most of them also attempted to reinforce the construct by using the IER but found that this was both technically difficult and added significant surgery time to the procedure [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle

Takao

Matsui

Stone

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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115

101

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Although several arthroscopic procedures for lateral ligament instability of the ankle have been reported recently, it is difficult to augment the reconstruction by arthroscopically tightening the inferior extensor retinaculum. There is also concern that when using the inferior extensor retinaculum, this is not strictly an anatomical repair since its calcaneal attachment is different to that of the calcaneofibular ligament. If a ligament repair is completed firmly, it is unnecessary to add argumentation with inferior extensor retinaculum. The authors describe a simplified technique, repair of the lateral ligament alone using a lasso-loop stitch, which avoids additionally tighten the inferior extensor retinaculum. In this paper, it is described an arthroscopic anterior talofibular ligament repair using lasso-loop stitch alone for lateral instability of the ankle that is likely safe for patients and minimal invasive.Level of evidence Therapeutic study, Level V.

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Section: Introductionmentioning

confidence: 99%

Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle

Takao

Matsui

Stone

et al. 2015

Knee Surg Sports Traumatol Arthrosc

Self Cite

115

101

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“…There is less trauma to the surrounding tissue than in the case of open surgery, which reduces postoperative pain and permits an early rehabilitation protocol, leading to a faster recovery. [3][4][5][6]8,10,11 Using only 2 arthroscopic portals limits synovial injury, which reduces the risk of excessive edema and avoids extensive adhesion formation. Moreover, arthroscopic visualization of the joint enables one to anatomically restore the course of the ATFL from its fibular to talar footprint.…”

Section: Discussionmentioning

confidence: 99%

“…They can be divided into 2 categories: ligament repair or ligament reconstruction using a tendon graft or transfer. [3][4][5][6][7][8][9][10][11][12] The surgical procedure should be selected based on the tissue quality determined during arthroscopic assessment of the ATFL remnant. 11,13 The aim of this article was to present an arthroscopic technique for all-inside ATFL repair that allows for restoration of the ankle joint stability in a minimally invasive way.…”

mentioning

confidence: 99%

Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Anterolateral Ankle Instability

Malinowski¹,

Paszkowski²,

Góralczyk³

et al. 2020

Arthroscopy Techniques

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Ankle instability is due to repetitive inversion injuries and is usually treated conservatively; however, after repeated sprains, chronic instability occurs and usually requires a surgical procedure. Recently, arthroscopic repair of a torn anterior talofibular ligament (ATFL) has become more popular owing to its minimal invasiveness and high efficacy. An all-inside technique allows for anatomic restoration of the injured ATFL, provides stability to the ankle joint, prevents a limitation of ankle range of motion, and may prevent arthritic development. We present an all-inside arthroscopic ATFL repair technique.

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“…• Poor ligament-tissue quality can be a limitation of the repair technique and reconstruction should be considered in these cases [7][8][9] .…”

Section: Pitfalls and Challengesmentioning

confidence: 99%

Arthroscopic All-Inside Anterior Talofibular Ligament Repair Through a Three-Portal and No-Ankle-Distraction Technique

Vega

Guelfi

Malagelada

et al. 2018

JBJS Essential Surgical Techniques

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Background: Ankle instability is a common consequence of ankle sprains. Injury of the anterior talofibular ligament (ATFL) is the most common cause of ankle instability 1. Arthroscopic treatment of ankle instability is an emerging field attracting increased interest among surgeons 2-10. The arthroscopic all-inside ATFL repair allows the surgeon to explore the ankle joint, treat concomitant pathology when encountered, and reattach the injured ATFL to its fibular anatomical location. The aim of this article is to describe the arthroscopic all-inside ATFL repair through a 3-portal no-ankle-distraction technique. Description: After patient positioning, anteromedial and anterolateral portals are created. An accessory anterolateral portal is created just anterior to the fibula and about 1 cm proximal to the tip of the lateral malleolus. The arthroscope is introduced through the anteromedial portal, and the instruments are introduced through the anterolateral portal. Recognition of the ligament and evaluation of the ligament tear with a probe are required. The footprint for the fibular attachment of the ATFL is debrided. The ligament is penetrated with a suture passer. A nitinol loop is pushed and then is pulled out through the accessory portal. The nitinol wire is replaced by a double high-resistance suture. The limbs of the suture located in the accessory portal are passed through the anterolateral portal. Next, one or both limbs of the suture are passed through the loop suture. Pulling of the suture limbs introduces the loop into the joint and the ligament is grasped by the suture. The tunnel for the anchor is drilled. The knotless anchor is loaded with the suture, and the anchor and suture are introduced with the ankle in dorsiflexion and valgus. Postoperatively, the ankle is immobilized with a removable walking boot for 4 weeks. Once use of the walking boot is discontinued, physical therapy is started. Alternatives: Nonoperative treatment with physiotherapy or sports restriction can be an alternative for patients with surgical contraindications or as a first step of treatment. Open techniques (repair or reconstruction) or other Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSEST/A224).

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Arthroscopic Broström repair with Gould augmentation via an accessory anterolateral port for lateral instability of the ankle

Cited by 78 publications

References 12 publications

Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle

Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle

Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Anterolateral Ankle Instability

Arthroscopic All-Inside Anterior Talofibular Ligament Repair Through a Three-Portal and No-Ankle-Distraction Technique

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