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All-Inside Endoscopic Broström-Gould Procedure for Chronic Ankle Instability

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Abstract

Arthroscopic repair of the ATFL with or without augmentation is one of the most popular surgical procedures for chronic ankle instability. Arthroscopic techniques of ATFL repair and augmentation (Broström-Gould procedures) were recently described. The advantages of an arthroscopic procedure are not only the assessment and treatment of associated lesions but also the complete ligament assessment and all-inside technique for ATFL repair. The main difficulty is to have criteria to decide whether ATFL is still present to perform a repair or if it is too weak or absent and needs a reconstruction. In this field, arthroscopy remains the best tool to have a complete and objective assessment of ATFL. Arthroscopic technique of ATFL repair with and without augmentation is described to provide guidelines for a reliable and efficient technique.

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References

  1. Garrick JG. The frequency of injury, mechanism of injury and epidemiology of ankle sprains. Am J Sports Med. 1977;5:241–2.

    Article  CAS  Google Scholar 

  2. Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma. Scand J Med Sci Sports. 2002;12:129–35.

    Article  CAS  Google Scholar 

  3. Gross P, Marti B. Risk of degenerative ankle joint disease in volleyball players: study of former elite athletes. Int J Sports Med. 1999;20:58–63.

    Article  CAS  Google Scholar 

  4. Harrington KD. Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability. J Bone Joint Surg Am. 1979;61:354–61.

    Article  CAS  Google Scholar 

  5. Hirose K, Murakami G, Minowa T, Kura H, Yamashita T. Lateral ligament injury of the ankle and associated articular cartilage degeneration in the talocrural joint: anatomic study using elderly cadavers. J Orthop Sci. 2004;9:37–43.

    Article  Google Scholar 

  6. Takao M, Ochi M, Uchio Y, Naito K, Kono T, Oae K. Osteochondral lesions of the talar dome associated with trauma. Arthroscopy. 2003;19:1060–6.

    Google Scholar 

  7. Broström L. Sprained ankles. V. Treatment and prognosis in recent ligament ruptures. Acta Chir Scand. 1966;132:537–50.

    PubMed  Google Scholar 

  8. Karlsson J, Eriksson BI, Bergsten T, Rudholm O, Swärd L. Comparison of two anatomic reconstructions for chronic lateral instability of the ankle joint. Am J Sports Med. 1997;25:48–53.

    Article  CAS  Google Scholar 

  9. De Leeuw PA, Golano P, Clavero JA, Van Dijk CN. Anterior ankle arthroscopy: distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc. 2010;18(5):594–600. https://doi.org/10.1007/s00167-010-1089-1.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Acevedo JI, Mangone PG. Arthroscopic lateral ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6.

    Article  Google Scholar 

  11. Nery C, Raduan F, Buono AD, Asaumi ID, Cohen M, Maffulli N. Arthroscopic assisted Broström-Gould for chronic ankle instability: a long-term follow-up. Am J Sports Med. 2011;39:2381–8.

    Article  Google Scholar 

  12. Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int. 2009;30:213–7.

    Article  Google Scholar 

  13. Kim ES, Lee KT, Park JS, Lee YK. Arthroscopic anterior talofibular ligament repair for chronic ankle instability with a suture anchor technique. Orthopedics. 2011;34:1–5.

    Article  Google Scholar 

  14. Cotton JM, Rigby RB. The “all inside” arthroscopic Broström procedure: a prospective study of 40 consecutive patients. J Foot Ankle Surg. 2013;52:568–74.

    Article  Google Scholar 

  15. Giza E, Shin EC, Wong SE, Acevedo JI, Mangone PG, Olson K, Anderson MJ. Arthroscopic suture anchor repair of the lateral ligament complex: a cadaver study. Am J Sports Med. 2013;41:2567–72.

    Article  Google Scholar 

  16. Matsui K, Takao M, Miyamoto W, Innami K, Matsushita T. Arthroscopic Broström repair with Gould argumentation via an accessory anterolateral port for lateral instability of the ankle. Arch Orthop Trauma Surg. 2014;134:1461–7.

    Article  Google Scholar 

  17. Vega J, Golanó P, Pellegrino A, Rabat E, Peña F. All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int. 2013;34:1701–9.

    Article  Google Scholar 

  18. Lui TH. Modified arthroscopic Broström procedure with bone tunnels. Arthrosc Tech. 2016;5(4):e775–80.

    Article  Google Scholar 

  19. Guillo S, Bauer T, Lee JW, Takao M, Kong SW, Stone JW, Mangone PG, Molloy A, Perera A, Pearce CJ, Michels F, Tourné Y, Ghorbani A, Calder J. Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy. Orthop Traumatol Surg Res. 2013;99(8 Suppl):S411–9. https://doi.org/10.1016/j.otsr.2013.10.009.

    Article  CAS  PubMed  Google Scholar 

  20. Galla M. Treatment of lateral ankle joint instability. Open or arthroscopic? Unfallchirurg. 2016;119(2):109–14. https://doi.org/10.1007/s00113-015-0139-z.

    Article  CAS  PubMed  Google Scholar 

  21. Odak S, Ahluwalia R, Shivarathre DG, Mahmood A, Blucher N, Hennessy M, Platt S. Arthroscopic evaluation of impingement and osteochondral lesions in chronic lateral ankle instability. Foot Ankle Int. 2015;36(9):1045–9. https://doi.org/10.1177/1071100715585525.

    Article  PubMed  Google Scholar 

  22. Brown AJ, Shimozono Y, Hurley ET, Kennedy JG. Arthroscopic repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review. Arthroscopy. 2018;34(8):2497–503. https://doi.org/10.1016/j.arthro.2018.02.034.

    Article  PubMed  Google Scholar 

  23. Araoye I, De Cesar Netto C, Cone B, Hudson P, Sahranavard B, Shah A. Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter? Int Orthop. 2017;41(11):2289–95. https://doi.org/10.1007/s00264-017-3617-9.

    Article  PubMed  Google Scholar 

  24. Lopes R, Andrieu M, Cordier G, Molinier F, Benoist J, Colin F, Thès A, Elkaïm M, Boniface O, Guillo S, Bauer T, French Arthroscopy Society. Arthroscopic treatment of chronic ankle instability: prospective study of outcomes in 286 patients. Orthop Traumatol Surg Res. 2018;104(8S):S199–205. https://doi.org/10.1016/j.otsr.2018.09.005.

    Article  PubMed  Google Scholar 

  25. Thès A, Klouche S, Ferrand M, Hardy P, Bauer T. Assessment of the feasibility of arthroscopic visualization of the lateral ligament of the ankle: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):985–90. https://doi.org/10.1007/s00167-015-3804-4.

    Article  PubMed  Google Scholar 

  26. Vega J, Allmendinger J, Malagelada F, Guelfi M, Dalmau-Pastor M. Combined arthroscopic all-inside repair of lateral and medial ankle ligaments is an effective treatment for rotational ankle instability. Knee Surg Sports Traumatol Arthrosc. 2017; https://doi.org/10.1007/s00167-017-4736-y.

  27. Vega J, Pena F, Golano P. Minor or occult ankle instability as a cause of anterolateral pain after ankle sprain. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1116–23. https://doi.org/10.1007/s00167-014-3454-y.

    Article  PubMed  Google Scholar 

  28. Molinier F, Benoist J, Colin F, Padiolleau J, Guillo S, Stone J, Bauer T. Does antero-lateral ankle impingement exist? Orthop Traumatol Surg Res. 2017;103(8S):S249–52. https://doi.org/10.1016/j.otsr.2017.09.004.

    Article  CAS  PubMed  Google Scholar 

  29. Takao M, Matsui K, Stone JW, Glazebrook MA, Kennedy JG, Guillo S, Calder JD, Karlsson J, Ankle Instability Group. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1003–6. https://doi.org/10.1007/s00167-015-3638-0.

    Article  Google Scholar 

  30. Nery C, Fonseca L, Raduan F, Moreno M, Baumfeld D, ESSKA AFAS Ankle Instability Group. Prospective study of the “inside-out” arthroscopic ankle ligament technique: preliminary result. Foot Ankle Surg. 2018;24(4):320–5. https://doi.org/10.1016/j.fas.2017.03.002.

    Article  PubMed  Google Scholar 

  31. Cottom JM, Richardson PE. The “all-inside” arthroscopic Broström procedure augmented with a proximal suture anchor: an innovative technique. J Foot Ankle Surg. 2017;56(2):408–11. https://doi.org/10.1053/j.jfas.2016.10.013.

    Article  PubMed  Google Scholar 

  32. Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012;20(8):1420–31. https://doi.org/10.1007/s00167-012-2063-x.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Drakos M, Behrens SB, Mulcahey MK, Paller D, Hoffman E, DiGiovanni CW. Proximity of arthroscopic ankle stabilization procedures to surrounding structures: an anatomic study. Arthroscopy. 2013;29(6):1089–94. https://doi.org/10.1016/j.arthro.2013.02.011.

    Article  PubMed  Google Scholar 

  34. Dalmau-Pastor M, Malagelada F, Kerkhoffs GMMJ, Manzanares MC, Vega J. X-shaped inferior extensor retinaculum and its doubtful use in the Broström-Gould procedure. Knee Surg Sports Traumatol Arthrosc. 2018;26(7):2171–6. https://doi.org/10.1007/s00167-017-4647-y.

    Article  CAS  PubMed  Google Scholar 

  35. Guelfi M, Zamperetti M, Pantalone A, Usuelli FG, Salini V, Oliva XM. Open and arthroscopic lateral ligament repair for treatment of chronic ankle instability: a systematic review. Foot Ankle Surg. 2018;24(1):11–8. https://doi.org/10.1016/j.fas.2016.05.315.

    Article  PubMed  Google Scholar 

  36. Cottom JM, Baker J, Plemmons BS. Analysis of two different arthroscopic Broström repair constructs for treatment of chronic lateral ankle instability in 110 patients: a retrospective cohort study. J Foot Ankle Surg. 2018;57(1):31–7. https://doi.org/10.1053/j.jfas.2017.05.045.

    Article  PubMed  Google Scholar 

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Odagiri, H., Guillo, S., Bauer, T. (2019). All-Inside Endoscopic Broström-Gould Procedure for Chronic Ankle Instability. In: Canata, G., d'Hooghe, P., Hunt, K., Kerkhoffs, G., Longo, U. (eds) Sports Injuries of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58704-1_3

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  • DOI: https://doi.org/10.1007/978-3-662-58704-1_3

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