Lateral ankle sprains are a common injury that typically respond well to nonoperative therapy. When nonoperative therapy fails and patients develop chronic lateral ankle instability, they become candidates for surgical repair. The present study examined 45 consecutive patients (45 ankles) with chronic lateral ankle instability who underwent arthroscopic Broström repair using a double-row suture anchor construct. The 45 patients (27 females and 18 males) were followed up for a mean of 14 (range 12 to 20) months. The mean time to weightbearing with crutches was 3.3 (range 2 to 4) days, and full weightbearing was initiated at a mean of 14.4 (range 12 to 16) days. All patients participated in structured physical therapy, which was started at 21.6 (range 18 to 23) days. Patients were transitioned to regular shoe gear with a stirrup-style ankle brace at 28.7 (range 26 to 31) days. The American Orthopaedic Foot and Ankle Society scale scores improved from an average preoperative score of 48.7 (range 45 to 55) to 95.4 (range 90 to 100) postoperatively. The average visual analog scale decreased from 8 (range 6 to 10) preoperatively to 0.6 (range 0 to 5) postoperatively at the last follow-up visit. The Karlsson-Peterson score postoperatively was 87 of 100. We have shown that patients with this new arthroscopic Broström technique modified with a proximal suture anchor can begin weightbearing earlier than previously reported, without adverse effects in terms of pain, functional outcomes scores, and clinical outcomes.
Level of Clinical Evidence
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- Surgical treatment of the unstable ankle.J Am Acad Orthop Surg. 1998; 6: 368-377
- The frequency of injury, mechanism of injury, and epidemiology of ankle sprains.Am J Sports Med. 1977; 5: 241-242
- Sprained ankles, VI: surgical treatment of “chronic” ligament ruptures.Acta Chir Scand. 1966; 243: 551-565
- Early and late repair of the lateral ligaments of the ankle.Foot Ankle. 1980; 1: 84-89
- The use of arthroscopic thermal shrinkage to treat chronic lateral ankle instability in young athletes.Arthroscopy. 2005; 21: 751-757
- Thermal-assisted capsular modification for functional ankle instability.Foot Ankle Clin North Am. 2002; 7: 567-576
- Arthroscopic stapling repair for chronic lateral instability.Clin Podair Med Surg. 1987; 4: 875-883
- Arthroscopic lateral ankle ligament reconstruction.Tech Foot Ankle Surg. 2011; 10: 111-116
- Arthroscopic stabilization of the ankle.Clin Podiatr Med Surg. 1997; 14: 459-478
- Arthroscopic repair of chronic lateral ankle instability.Foot Ankle Int. 2009; 30: 213-217
- All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique.Foot Ankle Int. 2013; 34: 1701-1709
- The “all inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients.J Foot Ankle Surg. 2013; 52: 568-574
- Associated intraarticular ankle pathologies associated with chronic lateral ankle instability.Foot Ankle Spec. 2011; 4: 284-289
- Arthroscopic findings in patients with chronic ankle instability.Am J Sports Med. 2002; 30: 402-409
- Chronic lateral instability: arthroscopic findings and long-term results.Foot Ankle Int. 2007; 28: 865-872
- Early mobilization versus immobilization after ankle ligament stabilization.Scand J Med Sci Sports. 1999; 9: 299-303
- Early range of motion training after ligament reconstruction of the ankle joint.Surg Sports Traumatol Arthrosc. 1995; 3: 173-177
- Biomechanical analysis of an arthroscopic Broström ankle ligament repair and a suture anchor-augmented repair.Foot Ankle Int. 2015; 36: 836-841
- A biomechanical comparison of three different arthroscopic lateral ankle stabilization techniques in 36 cadaveric ankles.J Foot Ankle Surg. 2016; (in press)
- Arthroscopic Broström technique.Foot Ankle Int. 2015; 36: 465-473
Published online: September 13, 2016
Financial Disclosure: None reported.
Conflict of Interest: James M. Cottom is a paid consultant for Arthrex and Stryker Corporations.
© 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.