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All Inside Broström Arthroscopic Procedure

  • Francesco Allegra
  • Edoardo Barberini
  • Stefano Carli
Chapter
  • 47 Downloads

Abstract

Chronic ankle instability is a joint disorder that is managed by different surgical treatments. In the literature, some advocate primary repair of remaining ligament portions, and others espouse ligament reconstruction with tendon transfers, grafting, or synthetic materials. Several techniques have been proposed with the traditional open approach anatomic reconstruction with or without the use of anchors. Further ankle disorders caused by and associated with joint instability frequently present in any articular compartment and are preferably treated with arthroscopy. Therefore, this procedure assumes a main role in the care of secondary symptomatic pathologies. The modified Broström repair is the method of choice for primary open operative treatment for chronic ankle instability. Recently, it has been proposed that this procedure be performed by arthroscopic technique, using dedicated portals to complete all the modified steps.

Notes

Acknowledgement

Videos edited by Giovanni Corsini M.D.

Supplementary material

Video 16.1

All inside bröstrom arthroscopic procedure (MP4 102,856 kb)

References

  1. 1.
    Garrik JG. The frequency of injury, mechanism of injury and epidemiology of ankle sprains. Am J Sports Med. 1977;6:241–2.CrossRefGoogle Scholar
  2. 2.
    Karlsson J, Bergsten T, Lansinger O, et al. Lateral instability of the ankle treated by the Evans procedure: a long-term clinical and radiological follow-up. J Bone Joint Surg Br. 1988;70:476–80.CrossRefGoogle Scholar
  3. 3.
    Vega J, Malagelada F, Manzanares Céspedes MC, Dalmau-Pastor M. The lateral fibulotalocalcaneal ligament complex: an ankle stabilizing isometric structure. Knee Surg Sports Traum Arthr. 2018.  https://doi.org/10.1007/s00167-018-5188-8.
  4. 4.
    Harrington HD. Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability. J Bone Joint Surg Am. 1979;(3):354–61.Google Scholar
  5. 5.
    Broström I. Sprained ankles. V. Treatment and prognosis in recent ligament ruptures. Acta Orthop Scand. 1966;5:537–50.Google Scholar
  6. 6.
    Broström I. Sprained ankles. VI. Surgical treatment of “chronic” ligament ruptures. Acta Orthop Scand. 1966;5:551–65.Google Scholar
  7. 7.
    Gould N, Seligson D, Gassman J. Early and late repair of lateral ligament of the ankle. Foot Ankle. 1980;2:84–9.CrossRefGoogle Scholar
  8. 8.
    Christmas OD, Snook GA. Reconstruction of lateral ligament tears 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;5:904–12.Google Scholar
  9. 9.
    Evans DL. Recurrent instability of the ankle: a method of surgical treatment. Proc R Soc Med. 1953;5:343–4.Google Scholar
  10. 10.
    Li X, Lin TJ, Busconi BD. Treatment of chronic lateral instability: a modified Broström technique using three suture anchors. J Orthop Surg Res. 2009;4(41):749–99.Google Scholar
  11. 11.
    Neuschwander TB, Indresano AA, Hughes TH, Smith BW. Footprint of the lateral ligament complex of the ankle. Foot Ankle Int. 2013;34(4):582–6.CrossRefGoogle Scholar
  12. 12.
    Oloff LM, Bocko AP, Fanton G. Arthroscopic monopolar radiofrequency thermal stabilization for chronic lateral ankle instability: a preliminary report on 10 cases. J Foot Ankle Surg. 2000;39:144–53.CrossRefGoogle Scholar
  13. 13.
    Caprio A, Oliva F, Treia F, Maffulli N. Reconstruction of the lateral ankle ligaments with allograft in patients with chronic ankle instability. Foot Ankle Clin. 2006;3:597–605.CrossRefGoogle Scholar
  14. 14.
    Heilman AE, Braly WG, Bishop JO, Noble PC, Tullos HS. An anatomic study of subtalar instability. Foot Ankle. 1990;10:224–8.CrossRefGoogle Scholar
  15. 15.
    Ventura A, Terzaghi C, Legnani C, Borgo E. Arthroscopic four-step treatment for chronic ankle instability. Foot Ankle Int. 2012;33(1):29–36.CrossRefGoogle Scholar
  16. 16.
    Watson-Jones R. Recurrent forward dislocation of the ankle joint. J Bone Joint Surg Br. 1952;34:519–24.Google Scholar
  17. 17.
    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. J Foot Ankle Surg. 2018;24(1):11–18.Google Scholar
  18. 18.
    Acevedo JI, Mangone PG. Arthroscopic ankle ligament reconstruction. Tech Foot Ankle Surg. 2011;10:111–6.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Francesco Allegra
    • 1
  • Edoardo Barberini
    • 1
  • Stefano Carli
    • 1
  1. 1.Stefano Gumina, University Department, Polo Pontino c/o ICOTUniversity La SapienzaLatinaItaly

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