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Review Article|Articles in Press

Chronic Lateral Ankle Instability

Can We Get Even Better with Surgical Treatment?
Published:March 08, 2023DOI:https://doi.org/10.1016/j.fcl.2023.01.004

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      References

        • Krips R.
        • de Vries J.
        • van Dijk C.N.
        Ankle instability.
        Foot Ankle Clin. 2006; 11 (vi): 311-329
        • Harrington K.D.
        Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability.
        J Bone Joint Surg Am. 1979; 61: 354-361
        • Hedeboe J.
        • Johannsen A.
        Recurrent instability of the ankle joint: Surgical repair by the Watson-Jones method.
        Acta Orthop Scand. 1979; 50: 337-340
        • Megan N.H.
        • Bonnie L.V.
        • Matthew C.
        • et al.
        Health-related quality of life in individuals with chronic ankle instability.
        J Athl Train. 2014; 49: 758-763
        • Porter D.A.
        • Kamman K.A.
        Chronic Lateral Ankle Instability: Open Surgical Management.
        Foot Ankle Clin. 2018; 23: 539-554
        • Drez D.
        • Young J.C.
        • Waldman D.
        • et al.
        Nonoperative treatment of double lateral ligament tears of the ankle.
        Am J Sports Med. 1982; 10: 197-200
        • Mann R.A.
        Mann R.A. Coughlin M.J. 9th edition. Surgery of the foot and ankle. 2. Mosby, St Louis (MO)1999: 1090-1209
        • Smith R.W.
        • Reischl S.F.
        Treatment of ankle sprains in young athletes.
        Am J Sports Med. 1986; 14: 465-471
        • Aicale R.
        • Maffulli N.
        Chronic Lateral Ankle Instability: Topical Review.
        Foot Ankle Int. 2020; 41: 1571-1581
        • Vega J.
        • Golanó P.
        • Peña F.
        Iatrogenic articular cartilage injuries during ankle arthroscopy.
        Knee Surg Sports Traumatol Arthrosc. 2016; 24: 1304-1310
        • Espinosa N.
        • Smerek J.
        • Kadakia A.R.
        • et al.
        Operative management of ankle instability: reconstruction with open and percutaneous methods.
        Foot Ankle Clin. 2006; 11: 547-565
        • Youn H.
        • Kim Y.S.
        • Lee J.
        • et al.
        Percutaneous Lateral Ligament Reconstruction with Allograft for Chronic Lateral Ankle Instability.
        Foot Ankle Int. 2012; 33: 99-104
        • Glazebrook M.
        • Stone J.
        • Matsui K.
        • et al.
        ESSKA AFAS Ankle Instability Group. Percutaneous Ankle Reconstruction of Lateral Ligaments (Perc-Anti RoLL).
        Foot Ankle Int. 2016; 37: 659-664
        • Cao S.
        • Wang C.
        • Wang X.
        • et al.
        Percutaneous Inferior Extensor Retinaculum Augmentation Technique for Chronic Ankle Instability.
        Orthop Surg. 2022; 14: 977-983
        • Drakos M.
        • Hansen O.
        • Kukadia S.
        Ankle instability.
        Foot Ankle Clin N Am. 2022; 27: 371-384
        • Bell S.J.
        • Mologne T.S.
        • Sitler D.F.
        • et al.
        Twenty-six-year results after Brostrom procedure for chronic lateral ankle instability.
        Am J Sports Med. 2006; 34: 975-978
        • Karlsson J.
        • Bergsten T.
        • Lansinger O.
        • et al.
        Reconstruction of the lateral ligaments of the ankle for chronic lateral instability.
        J Bone Joint Surg Am. 1988; 70: 581-588
        • Tourné Y.
        • Mabit C.
        • Moroney P.J.
        • et al.
        Long-term follow-up of lateral reconstruction with extensor retinaculum flap for chronic ankle instability.
        Foot Ankle Int. 2012; 33: 1079-1086
        • Choi H.J.
        • Kim D.W.
        • Park J.S.
        Modified broström procedure using distal fibular periosteal flap augmentation vs anatomic reconstruction using a free tendon allograft in patients who are not candidates for standard repair.
        Foot Ankle Int. 2017; 38: 1207-1214
        • Xu H.X.
        • Choi M.S.
        • Kim M.S.
        • et al.
        Gender Differences in Outcome After Modified Broström Procedure for Chronic Lateral Ankle Instability.
        Foot Ankle Int. 2016; 37: 64-69
        • Hu C.Y.
        • Lee K.B.
        • Song E.K.
        • et al.
        Comparison of bone tunnel and suture anchor techniques in the modified Broström procedure for chronic lateral ankle instability.
        Am J Sports Med. 2013; 41: 1877-1884
        • Cho B.K.
        • Kim Y.M.
        • Park K.J.
        • et al.
        A prospective outcome and cost-effectiveness comparison between two ligament reattachment techniques using suture anchors for chronic ankle instability.
        Foot Ankle Int. 2015; 36: 172-179
        • Aydogan U.
        • Glisson R.R.
        • Nunley J.A.
        Extensor retinaculum augmentation reinforces anterior talofibular ligament repair.
        Clin Orthop Relat Res. 2006; 442: 210-215
        • Jeong B.O.
        • Kim M.S.
        • Song W.J.
        • et al.
        Feasibility and Outcome of Inferior Extensor Retinaculum Reinforcement in Modified Broström Procedures.
        Foot Ankle Int. 2014; 35: 1137-1142
        • Evans D.L.
        Recurrent instability of the ankle-a method of surgical treatment.
        Proc R Soc Med. 1952; 46: 343-344
        • Chrisman O.D.
        • Snook G.A.
        Reconstruction of lateral ligament teras of the ankle. An experimental study and clinical evaluation of seven patients treated by a new modification of the Elmslie procedure.
        J Bone Joint Surg Am. 1969; 51: 904-912
        • Watson-Jones R.
        The classic: Fractures and joint injuries, by R Watson-Jones, Vol. II, 4th edition, Baltimore, Williams and Wilkins Company,1955.
        Clin Orthop. 1974; : 4-10
        • Prisk V.R.
        • Imhauser C.W.
        • O'Loughlin P.F.
        • et al.
        Lateral ligament repair and reconstruction restore neither contact mechanics of the ankle joint nor motion patterns of the hindfoot.
        J Bone Joint Surg Am. 2010; 92: 2375-2386
        • Baumhauer J.F.
        • O'Brien T.
        Surgical Considerations in the Treatment of Ankle Instability.
        J Athl Train. 2002; 37: 458-462
        • Sammarco V.J.
        Complications of Lateral Ankle Ligament Reconstruction.
        Clin Orthop Relat Res. 2001; 391: 123-132
        • Bahr R.
        • Pena F.
        • Shine J.
        • et al.
        Biomechanics of ankle ligament reconstruction. An in vitro comparison of the Brostrom repair, Watson-Jones reconstruction, and a new anatomic reconstruction technique.
        Am J Sports Med. 1997; 25: 424-432
        • Krips R.
        • van Dijk C.N.
        • Halasi T.
        • et al.
        Long-Term Outcome of Anatomical Reconstruction Versus Tenodesis for the Treatment of Chronic Anterolateral Instability of the Ankle Joint: A Multicenter Study.
        Foot Ankle Int. 2001; 22: 415-421
        • Krips R.
        • Brandsson S.
        • Swensson C.
        • et al.
        Anatomical reconstruction and Evans tenodesis of the lateral ligaments of the ankle. Clinical and radiological findings after follow-up for 15 to 30 years.
        J Bone Joint Surg Br. 2002; 84: 232-236
        • Girard P.
        • Anderson R.B.
        • Davis W.H.
        • et al.
        Clinical evaluation of the modified Brostrom-Evans procedure to restore ankle stability.
        Foot Ankle Int. 1999; 20: 246-252
        • Hsu A.R.
        • Ardoin G.T.
        • Davis W.H.
        • et al.
        Intermediate and long-term outcomes of the modified Brostrom-Evans procedure for lateral ankle ligament reconstruction.
        Foot Ankle Spec. 2016; 9: 131-139
        • Kaikkonen A.
        • Lehtonen H.
        • Kannus P.
        Jarvinen M. Long-term functional outcome after surgery of chronic ankle instability. A 5-year follow-up study of the modified Evans procedure.
        Scand J Med Sci Sports. 1999; 9: 239-244
        • Hashimoto T.
        • Kokubo T.
        Anatomical Tenodesis Reconstruction Using Free Split Peroneal Brevis Tendon for Severe Chronic Lateral Ankle Instability.
        Keio J Med. 2022; 71: 44-49
        • Wang B.
        • Xu X.Y.
        Minimally invasive reconstruction of lateral ligaments of the ankle using semitendinosus autograft.
        Foot Ankle Int. 2013; 34: 711-715
      1. Allen T and Kelly M. Modern Open and Minimally Invasive Stabilization of Chronic Lateral Ankle Instability. Foot Ankle Clin, Volume 26(1): 87–101.

        • Snook G.A.
        • Chrisman O.D.
        • Wilson T.C.
        Long-term results of the Chrisman-Snook operation for reconstruction of the lateral ligaments of the ankle.
        J Bone Joint Surg. 1985; 67-A: 1-7
        • Hennrikus W.L.
        • Mapes R.C.
        • Lyons P.M.
        • et al.
        Outcomes of the Chrisman-Snook and modified-Brostrom procedures for chronic lateral ankle instability. A prospective, randomized comparison.
        Am J Sports Med. 1996; 24: 400-404
        • Xu X.
        • Hu M.
        • Liu J.
        • et al.
        Minimally invasive reconstruction of the lateral ankle ligaments using semitendinosus autograft or tendon allograft.
        Foot Ankle Int. 2014; 35: 1015-1021
        • Miller A.G.
        • Raikin S.M.
        • Ahmad J.
        Near-anatomic allograft tenodesis of chronic lateral ankle instability.
        Foot Ankle Int. 2013 Nov; 34: 1501-1507
        • Jung H.G.
        • Shin M.H.
        • Park J.T.
        • et al.
        Anatomical Reconstruction of Lateral Ankle Ligaments Using Free Tendon Allografts and Biotenodesis Screws.
        Foot Ankle Int. 2015; 36: 1064-1071
        • Ferkel E.
        • Nguyen S.
        • Kwong C.
        Chronic Lateral Ankle Instability: Surgical Management.
        Clin Sports Med. 2020; 39: 829-843
        • Matheny L.M.
        • Johnson N.S.
        • Liechti D.J.
        • et al.
        Lateral Ankle Ligament Repair Versus Reconstruction.
        Am J Sports Med. 2016; 44: 1301-1308
        • Yoo J.S.
        • Yang E.A.
        Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace.
        J Orthop Traumatol. 2016; 17: 353-360
        • Cho B.-K.
        • Park K.-J.
        • Kim S.-W.
        • et al.
        Minimal Invasive Suture-Tape Augmentation for Chronic Ankle Instability.
        Foot Ankle Int. 2017; 38: 405-411
        • Cho B.K.
        • Park J.K.
        • Choi S.M.
        • et al.
        A randomized comparison between lateral ligaments augmentation using suture-tape and modified Broström repair in young female patients with chronic ankle instability.
        Foot Ankle Surg. 2019; 25: 137-142
        • Ollivere B.J.
        • Bosman H.A.
        • Bearcroft P.W.
        • et al.
        Foreign body granulomatous reaction associated with polyethelene 'Fiberwire(®)' suture material used in Achilles tendon repair.
        Foot Ankle Surg. 2014; 20: e27-e29
        • Martin K.D.
        • Andres N.N.
        • Robinson W.H.
        • et al.
        Suture Tape Augmented Broström Procedure.
        Foot Ankle Int. 2021; 42: 145-150
        • Ulrike W.
        • Gloria H.
        • Martin O.
        • et al.
        Improved Outcome and Earlier Return to Activity After Suture Tape Augmentation Versus Brostrom Repair for Chronic Lateral Ankle Instability? A Systematic Review.
        Arthrosc J Arthrosc Relat Surg. 2022; 38: 597-608
        • Cho Byung-Ki
        MD1, Kyoung-Jin Park, MD1, Ji-Kang Park, MD1, and Nelson F. SooHoo, MD2 Procedure Augmented With Suture-Tape for Ankle Instability in Patients With Generalized Ligamentous Laxity.
        J Orthop Traumatol. 2016; 17: 353-360
        • Sandlin M.I.
        • Taghavi C.E.
        • Charlton T.P.
        • et al.
        Lateral Ankle Instability and Peroneal Tendon Pathology.
        Instr Course Lect. 2017; 66: 301-312
        • Komenda G.A.
        • Ferkel R.D.
        Arthroscopic Findings Associated with the Unstable Ankle.
        Foot Ankle Int. 1999; 20: 708-713
        • Yeo E.D.
        • Park J.Y.
        • Kim J.H.
        • et al.
        Comparison of Outcomes in Patients With Generalized Ligamentous Laxity and Without Generalized Laxity in the Arthroscopic Modified Broström Operation for Chronic Lateral Ankle Instability.
        Foot Ankle Int. 2017; 38: 1318-1323
        • Vega J.
        • Golanó P.
        • Pellegrino A.
        • et al.
        All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique.
        Foot Ankle Int. 2013; 34: 1701-1709
        • Feng S.M.
        • Sun Q.Q.
        • Wang A.G.
        • et al.
        Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium- and Long-Term Functional Follow-Up.
        Orthop Surg. 2020; 12: 505-514
        • Yang Y.
        • Han J.
        • Wu H.
        • et al.
        Arthro-Broström with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques.
        BMC Musculoskelet Disord. 2022; 23: 795
        • Acevedo J.I.
        • Mangone P.
        Arthroscopic Brostrom technique.
        Foot Ankle Int. 2015; 36: 465-473
        • Guillo S.
        • Archbold P.
        • Perera A.
        • et al.
        Arthroscopic anatomic reconstruction of the lateral ligaments of the ankle with gracilis autograft.
        Arthrosc Tech. 2014; 3: e593-e598
        • Vilá-Rico J.
        • Cabestany-Castellà J.M.
        • Cabestany-Perich B.
        • et al.
        All-inside arthroscopic allograft reconstruction of the anterior talo-fibular ligament using an accesory transfibular portal.
        Foot Ankle Surg. 2019; 25: 24-30
        • Maffulli N.
        • Del Buono A.
        • Maffulli G.D.
        • et al.
        Isolated anterior talofibular ligament Broström repair for chronic lateral ankle instability: 9-year follow-up.
        Am J Sports Med. 2013; 41: 858-864
        • Allegra F.
        • Boustany S.E.
        • Cerza F.
        • et al.
        Arthroscopic anterior talofibular ligament reconstruction in chronic ankle instability. Two years results.
        Injury. 2020; 51: S56-S62
      2. Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30(3):213–217.

        • Cordier G.
        • Ovigue J.
        • Dalmau-Pastor M.
        • et al.
        Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability.
        Knee Surg Sports Traumatol Arthrosc. 2020; 28: 86-92
        • Attia A.K.
        • Taha T.
        • Mahmoud K.
        • et al.
        d'Hooghe P. Outcomes of Open Versus Arthroscopic Broström Surgery for Chronic Lateral Ankle Instability: A Systematic Review and Meta-analysis of Comparative Studies.
        Orthop J Sports Med. 2021; 9 (23259671211015207)
        • Woo B.J.
        • Lai M.C.
        • Koo K.
        Arthroscopic Versus Open Broström-Gould Repair for Chronic Ankle Instability.
        Foot Ankle Int. 2020; 41: 647-653
        • Guelfi M.
        • Zamperetti M.
        • Pantalone A.
        • et al.
        Open and arthroscopic lateral ligament repair for treatment of chronic ankle instability: A systematic review.
        Foot Ankle Surg. 2018; 24: 11-18
        • Brown A.J.
        • Shimozono Y.
        • Hurley E.T.
        • et al.
        Arthroscopic versus open repair of lateral ankle ligament for chronic lateral ankle instability: a meta-analysis.
        Knee Surg Sports Traumatol Arthrosc. 2020; 28: 1611-1618
        • Yeo E.D.
        • Lee K.T.
        • Sung I.H.
        • et al.
        Comparison of All-Inside Arthroscopic and Open Techniques for the Modified Broström Procedure for Ankle Instability.
        Foot Ankle Int. 2016; 37: 1037-1045
        • Cao Y.
        • Hong Y.
        • Xu Y.
        • et al.
        Surgical management of chronic lateral ankle instability: a meta-analysis.
        J Orthop Surg Res. 2018 Jun 25; 13: 159
        • Lu A.
        • Wang X.
        • Huang D.
        • et al.
        The effectiveness of lateral ankle ligament reconstruction when treating chronic ankle instability: A systematic review and meta-analysis.
        Injury. 2020; 51: 1726-1732