Minimal Invasive Suture-Tape Augmentation for Chronic Ankle Instability

Abstract

Level IV, case series study.

Suture-Button Fixation and Mini-Open Anterior Inferior Tibiofibular Ligament Augmentation Using Suture Tape for Tibiofibular Syndesmosis Injuries

“…Suture tape augmentation for Brostr€ om repair of the anterior talofibular ligament (ATFL) has been shown in a biomechanical study to provide strength equal to or better than that of a normal ATFL (6,7). Good clinical outcomes with mini-open ligament augmentation for chronic ankle instability have also been reported (5).…”

“…Surgical treatment of lateral ligament injuries of the ankle usually includes ligament repair or ligament reconstruction. However, good treatment outcomes have also been reported with ligament augmentation using nonabsorbable suture tape (5). Suture-button fixation and AITFL augmentation with suture tape could be a promising method for improved treatment outcomes in syndesmosis injuries.…”

Allograft Anterior Cruciate Ligament Reconstruction Utilizing Internal Brace Augmentation

“…[17][18][19] The concept of internal bracing has been described in the ankle for augmentation of a Broström repair. 19,20 The touted advantage in the ankle was to allow early range of motion and early weight-bearing to enhance functional return to normal activities. The internal brace also protects the Broström primary ligament repair so as to not compromise ultimate ankle stability during the accelerated rehabilitation process.…”

Biomechanical stability of tape augmentation for anterior talofibular ligament (ATFL) repair compared to the native ATFL

“…Due to the potential risk of donor-site morbidity after graft harvesting and the still inferior biomechanical results of suture anchor techniques compared to the native ATFL, there is a demand for less invasive and biomechanically more stable reconstructions. Hence, recent attention has been focussed on tape augmentation to improve primary stability of lateral ankle ligament repair [ 7 , 34 , 36 ]. It operates as internal additional reinforcement of an anatomic ATFL reconstruction in order to enhance the initial construct stability and to prevent early failure or elongation.…”