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Open Access Highly Accessed Technical Note

Treatment of chronic lateral ankle instability: a modified broström technique using three suture anchors

Xinning Li1*, Timothy J Lin2 and Brian D Busconi1

Author Affiliations

1 University of Massachusetts Medical Center, Division of Sports Medicine, Dept of Orthopaedic Surgery, Room S4-827, 55 Lake Avenue North, Worcester, MA 01655, USA

2 University of Massachusetts Medical School, Worcester, MA 01655, USA

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Journal of Orthopaedic Surgery and Research 2009, 4:41  doi:10.1186/1749-799X-4-41

Published: 2 December 2009

Abstract

Ankle sprains are very common injuries seen in the athletic and young population. Majority of patients will improve with a course of rest and physical therapy. However, with conservative management about twenty percent of all patients will go on to develop chronic lateral ankle instability. This manuscript describes our detailed surgical technique of a modification to the original Broström procedure using three suture anchors to anatomically reconstruct the lateral ankle ligaments to treat high demand patients who have developed chronic lateral ankle instability. The rationale for this modification along with patient selection and workup are discussed. Both the functional outcomes at the two year follow up along with the complications and the detailed postoperative rehabilitation protocol for the high demand athletes are also presented. This modified Broström procedure is shown in both illustrative format and intra-operative photos.