All-Inside Arthroscopic Anatomic Anterior Talofibular Ligament Repair for Chronic Lateral Ankle Instability and Injury at the Talar Attachment: Surgical Technique
2024

Arthroscopic Repair of Anterior Talofibular Ligament for Ankle Instability

publication Evidence: moderate

Author Information

Author(s): Ueda Nanami M.D., Murahashi Yasutaka M.D., Ph.D., Takahashi Katsunori M.D., Mori Yuta M.D., Watanabe Kota M.D., Ph.D., Emori Makoto M.D., Ph.D., Teramoto Atsushi M.D., Ph.D.

Primary Institution: Sapporo Medical University School of Medicine

Hypothesis

Can arthroscopic repair of the anterior talofibular ligament (ATFL) at the talar attachment improve outcomes for chronic lateral ankle instability?

Conclusion

Arthroscopic repair of the ATFL at the talar attachment is feasible and may lead to good outcomes.

Supporting Evidence

  • Arthroscopic surgery may lead to less postoperative swelling and pain than open surgery.
  • Good results have been reported with arthroscopic ligament repair techniques.
  • The technique allows for early rehabilitation and assessment of intra-articular lesions.

Takeaway

Doctors can fix a common ankle injury using a small camera and tools instead of a big cut, which helps people heal faster.

Methodology

The study describes a surgical technique for arthroscopic repair of the ATFL using various portals and suture anchors.

Potential Biases

There is a risk of injury to the superficial peroneal nerve during portal creation.

Limitations

The technique is limited to cases with or without small bone fragments and depends on the quality of the remnant ligament.

Digital Object Identifier (DOI)

10.1016/j.eats.2024.103098

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