Chronic Lateral Ankle Instability Repair Technique Using All-Inside and All-Knotless Soft-Tissue Anchors.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 40656727.
- Also identified by DOI 10.1016/j.eats.2025.103471 and PMC identifier 12255434.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
Chronic lateral ankle instability (CLAI) is common in sports. Whereas traditional open Broström-Gould surgery remains the gold standard for anterior talofibular ligament repair, advances in arthroscopic techniques with knotless suture anchors offer promising alternatives, reducing recovery time and complications. This article presents a minimally invasive arthroscopic technique for anterior talofibular ligament reconstruction with knotless anchors, reattaching the ligament to the fibula and minimizing risks of knot irritation and impingement. Postoperatively, patients follow a structured rehabilitation protocol, returning to full activity by 12 weeks. Compared with open techniques, this approach yields superior functional outcomes and esthetic benefits and addresses intra-articular issues associated with CLAI. The knotless arthroscopic technique yields a stable ligament repair with fewer neurologic risks, enhancing patient satisfaction and success. This procedure presents a safe, effective alternative for CLAI treatment.
Anatomy
- ankle