The “All Inside” Arthroscopic Broström Procedure: A Prospective Study of 40 Consecutive Patients

Cottom, James M.; Rigby, Ryan B.

doi:10.1053/j.jfas.2013.02.022

Cited by 143 publications

(120 citation statements)

References 24 publications

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“…Recently reported arthroscopic techniques for the reconstruction of lateral instability [4][5][6][7] have focused on the Broström procedure and rarely involved Gould augmentation [7]. The gold standard arthroscopic Broström and Gould technique has not been established and problems remain to be solved, including the potential risk of nerve injury with the percutaneous procedure, especially in relation to Gould augmentation [5,7].…”

Section: Discussionmentioning

confidence: 99%

“…Several arthroscopic techniques have been reported recently [4][5][6][7]. Gould augmentation reinforces the repair of the ruptured lateral ligaments, with the inferior extensor retinaculum (IER) providing additional support against inversion load [8]; however, this technique has been adopted in only one study to date [7].…”

Section: Introductionmentioning

confidence: 99%

“…Gould augmentation reinforces the repair of the ruptured lateral ligaments, with the inferior extensor retinaculum (IER) providing additional support against inversion load [8]; however, this technique has been adopted in only one study to date [7]. The long-term results of these arthroscopic procedures are therefore unclear and some concern remains over their procedural complexity and complications, such as nerve injury or a prominent implant eroding the overlying soft tissue [4].…”

Section: Introductionmentioning

confidence: 99%

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

Matsui

Takao

Miyamoto

et al. 2014

Arch Orthop Trauma Surg

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Although several arthroscopic surgical techniques for the treatment of lateral instability of the ankle have been introduced recently, some concern remains over their procedural complexity, complications, and unclear clinical outcomes. We have simplified the arthroscopic technique of Broström repair with Gould augmentation. This technique requires only two small skin incisions for two ports (medial midline and accessory anterolateral ports), without needing a percutaneous procedure or extension of the skin incisions. The anterior talofibular ligament is reattached to its anatomical footprint on the fibula with suture anchor, under arthroscopic view. The inferior extensor retinaculum is directly visualized through the accessory anterolateral port and is attached to the fibula with another suture anchor under arthroscopic view via the anterolateral port. The use of two small ports offers a procedure that is simple to perform and less morbid for patients.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

Matsui

Takao

Miyamoto

et al. 2014

Arch Orthop Trauma Surg

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“…Recently, several arthroscopically assisted techniques have been described for lateral ankle ligament reconstruction. 6,[15][16][17][18] These techniques, which are technically demanding, have shown early promise in Level IV studies with short-term follow-up. They effectively replicate the Broström-Gould procedure and fail to achieve true anatomic reconstruction.…”

Section: Placement Of Talar End Of Transplantmentioning

confidence: 99%

Arthroscopic Anatomic Reconstruction of the Lateral Ligaments of the Ankle With Gracilis Autograft

Guillo

Archbold²,

Perera

et al. 2014

Arthroscopy Techniques

107

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Lateral ankle sprains are common; if conservative treatment fails and chronic instability develops, stabilization surgery is indicated. Numerous surgical procedures have been described, but those that most closely reproduce normal ankle lateral ligament anatomy and kinematics have been shown to have the best outcomes. Arthroscopy is a common adjunct to open ligament surgery, but it is traditionally only used to improve the diagnosis and the management of any associated intra-articular lesions. The stabilization itself is performed open because standard anterior ankle arthroscopy provides only partial visualization of the anterior talofibular ligament from above and the calcaneofibular ligament attachments cannot be seen at all. However, lateral ankle endoscopy can provide a view of this area that is superior to open surgery. We have developed a technique of ankle endoscopy that enables anatomic positioning of the repair or fixation of the graft. In this article we describe a safe and reproducible arthroscopic anatomic reconstruction of the lateral ligaments of the ankle using a gracilis autograft. The aim of this procedure is to obtain a more physiological reconstruction while maintaining all the advantages of an arthroscopic approach.

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“…1,2 Arthroscopic techniques have recently been described aiming to lower the amount of surgical aggression and shorten the rehabilitation process (Table 1). [3][4][5][6][7][8][9][10][11][12][13] These techniques have been linked to the development of anchor and fixation devices that have facilitated arthroscopic-assisted ligament repair.…”

mentioning

confidence: 99%

Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors

Pereira

Vuurberg²,

Gomes

et al. 2016

Arthroscopy Techniques

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In recent years, arthroscopic and arthroscopically assisted techniques have been increasingly used to reconstruct the lateral ligaments of the ankle. Besides permitting the treatment of several comorbidities, arthroscopic techniques are envisioned to lower the amount of surgical aggression and to improve the assessment of anatomic structures. We describe our surgical technique for arthroscopic, two-portal ankle ligament repair using an all-soft knotless anchor, which is made exclusively of suture material. This technique avoids the need for classic knot-tying methods. Thus it diminishes the chance of knot migration caused by pendulum movements. Moreover, it avoids some complications that have been related to the use of metallic anchors and some currently available biomaterials. It also prevents prominent knots, which have been described as a possible cause of secondary complaints.A nkle sprain is the most frequent injury during sports activity. About 20% of cases eventually require surgical treatment for ankle instability after nonoperative treatment failure.1 The Broström procedure, with its several modifications, has been considered the gold standard of surgical treatment for several years.

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The “All Inside” Arthroscopic Broström Procedure: A Prospective Study of 40 Consecutive Patients

Cited by 143 publications

References 24 publications

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

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

Arthroscopic Anatomic Reconstruction of the Lateral Ligaments of the Ankle With Gracilis Autograft

Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors

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