Editorial Commentary: Arthroscopic All-Inside Ligament Repair Is an Essential Technique and the Emerging Gold-Standard Treatment for Ankle Instability.

Abstract

Arthroscopic all-inside ligament repair is a minimally invasive procedure for the treatment of patients with chronic ankle instability. Excellent results have been obtained through this arthroscopic procedure. However, remnant tissue quality can be a limitation to ligament repair. During the procedure, it is necessary to decide whether the injured ligament is repairable. When ligament resorption occurs, ligamentoplasty is indicated. In the case of good or excellent remnant ligament quality, ligament repair is the technique of choice. However, when ligament quality is poor, the surgeon must decide whether to proceed with repair. Although a poor-quality ligament can be repaired with good results, the use of augmentation techniques to protect the ligament repair should be considered when remnant ligament quality is poor.