Minimally invasive surgical treatment for chronic ankle instability: a systematic review

Abstract

Systematic review, Level IV.

A comparison between arthroscopic and open surgery for treatment outcomes of chronic lateral ankle instability accompanied by osteochondral lesions of the talus

“…Meanwhile, as a less invasive technique, the bleeding and postoperative adhesion of the arthroscopic technique in the ankle joint was lower than that of the open surgery. This can accelerate the process of recovery and postoperative rehabilitation [27], and therefore improve the short-term outcomes.…”

All-Inside Endoscopic Broström–Gould Technique

“…Nonanatomical repairs provide poor long-term results and are not recommended as the first choice for treatment. 2,6 The Broström technique is an anatomic repair technique and has been a standard procedure for chronic lateral ankle instability. However, it soon became clear that this procedure was insufficient, and changes were then described to tighten and strengthen the repair.…”

“…An arthroscopic technique recently has been developed to treat ankle instability. 2,5,6 Thermal shrinkage, ligament repair, and techniques of ligament reconstruction have been described. Nevertheless, no published technique has proposed a total endoscopic Broström technique associated with a Gould augmentation.…”

Anatomical Arthroscopic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction Using an Autogenic Hamstring Tendon: Safe Creation of Anatomical Fibular Tunnel

“…The Brostrom technique is the most popular procedure for repairing the ruptured ATFL, 2 and recent reports have described arthroscopic repair methods. 3 , 16 , 17 , 18 , 19 Arthroscopic ligament reconstruction techniques using a graft tendon have also been reported 4 , 5 , 6 ; these are believed to be stronger than repair techniques but need tunnel creation at the distal fibular end. Surgeons should create a fibular tunnel carefully to avoid intraoperative fracture because the fibular end is thin.…”