J Korean Foot Ankle Soc.  2018 Sep;22(3):83-90. 10.14193/jkfas.2018.22.3.83.

Ligament Repair in Chronic Lateral Ankle Instability: Efficacy and Technique of Broström Procedures

• Jeong BO
• Hwang YG

• KMID: 2428663
• DOI: http://doi.org/10.14193/jkfas.2018.22.3.83

Abstract

Chronic lateral ankle instability occurs in 10% to 20% of individuals after acute ankle sprain. The management of chronic lateral ankle instability is traditionally conservative treatment in the acute phase. On the other hand, surgical intervention is considered if conservative treatment fails and the symptoms are ongoing. This review focuses on the surgical approaches to treatment of chronic lateral ankle instability, including Broström surgical techniques, with a review of the traditional procedure and newer techniques.

Keyword

Ankle; Chronic lateral ankle instability; Modified Broström procedure

MeSH Terms

Ankle Injuries
Ankle*
Hand
Ligaments*

Figure

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  Figure 1. (A) Varus stress test and anterior draw test; It can be seen that there is a widening of the joint space on the basis of the varus stress test. (B) In the anterior draw test, the talus was displaced anteriorly.

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  Figure 2. (A) Broström procedure (1966). (B) Gould modification procedure (1980). Revised from the article of Chung (J Korean Orthop Assoc. 2014;49:13–21)24) in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 3.0) license.

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  Figure 3. Karlsson procedure (1988). Revised from the article of Chung (J Korean Orthop Assoc. 2014;49:13–21)24) in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 3.0) license.

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  Figure 4. (A) Complete tear of anterolateral capsule and anterior talofibular and calcaneofibular ligament. (B, C) Repair of anterior talofibular ligament with suture anchor. (D) Completion of surgical repair.

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  Figure 5. (A, B) Peroneal tendon strengthening exercise. (C) Proprioception exercise.

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