All-inside endoscopic broström-gould procedure for chronic ankle instability

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.