J Korean Orthop Assoc.  2014 Feb;49(1):13-21. 10.4055/jkoa.2014.49.1.13.

Anatomical Repair for Chronic Lateral Ankle Instability

  • 1Department of Orthopaedic Surgery, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. chunghj@dreamwiz.com


Ankle sprain secondarily leads to chronic lateral ankle instability in 20%-30% of cases. Many surgical procedures have been presented for lateral ankle instability; however, controversy remains regarding the ideal surgical option. The Brostrom procedure or its modifications have been widely used; however, they have some limitations for the instabilities of over-weight, physically high demanding patients, generalized ligamentous laxity, and especially for significantly deficient or attenuated ligaments. This article reports on the difference between the bone tunnel technique and the suture anchor technique of the modified Brostrom procedure, and also provides a review of several recent debates.


ankle; chronic lateral instability; anatomical repair
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