Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 10 , ISSUE 2 ( April-June, 2023 ) > List of Articles

REVIEW ARTICLE

Evaluation of Technical Differences in Arthroscopic Lateral Ligament Stabilization for Chronic Ankle Instability: A Review

Ankit Khurana, Gurvinder Singh, Jujhar Singh, Zachary Littlefield, Ashish D Shah

Keywords : Arthroscopy, Broström, Chronic ankle instability, Lateral ligament repair

Citation Information : Khurana A, Singh G, Singh J, Littlefield Z, Shah AD. Evaluation of Technical Differences in Arthroscopic Lateral Ligament Stabilization for Chronic Ankle Instability: A Review. J Foot Ankle Surg Asia-Pacific 2023; 10 (2):79-87.

DOI: 10.5005/jp-journals-10040-1287

License: CC BY-NC 4.0

Published Online: 11-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Chronic ankle instability is among one of the most common pathological conditions in physically active individuals. Modified Broström is considered the gold standard for chronic ankle instability, which has failed conservative management. The arthroscopic modified Broström repair appears to be a reasonable alternative to open stabilization. This review attempts to assimilate the available literature on the arthroscopic technique of chronic lateral ankle instability and tries to bring out the technical differences in operative technique Materials and methods: A systematic search using databases PubMed, Embase, and Scopus was performed using the keywords and Boolean operators [“chronic ankle instability” or “lateral ankle instability” or “anterior talofibular ligament (ATFL)”] and (“arthroscopy”) and (“Broström” or “Broström-Gould” or ‘surgery’). Out of the total of 299 studies evaluated, 21 were included in the final analysis. Technical data, including operative techniques, were extracted from all articles, and data were tabulated and analyzed by the authors. Results: While all methods described in the literature have shown good outcomes, arthroscopic techniques described in the literature are varied, and this variation stems from several factors, including a difference in training, local implant and equipment availability, perceived stability, and personal preference. Conclusion: This review attempts to assimilate the available literature on the arthroscopic technique of chronic lateral ankle instability and tries to bring out the technical differences in operative techniques that have been described in the literature for this procedure. More evidence in the form of level 1 studies have to be done to prove the superiority of one technique over the other and to judge which technique of the various technical options gives the best results in terms of function, complications, and reinjury rates.


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