Advanced Learning Pathway: Lateral Ankle Instability - Treatment

Learning Objectives of this Pathway:

• Understand the relevant anatomy and surgical approach for lateral ankle instability
• Describe the clinical evaluation and role of advanced for surgical planning
• Describe the difference(s) of anatomic vs. non-anatomic repair
• Describe the advantages and disadvantages of autograft vs. allograft techniques
• Describe the role of arthroscopy in lateral ankle stabilization
• Describe other procedures where ancillary lateral ankle stabilization may be considered

Download a PDF of this learning pathway

Day 1: Brostrom/Modified Brostrom

Clinical Sessions

• Waiting to Weight: Kicking the Tradition - Brostrom Procedure
• Modified Broström-What Are the Current Options?

Podcasts:

• Lateral Ankle Instability
• Lateral Ankle Instability 2018

None

Journal Articles:

• (Encourage to Review) - ACFAS Classic Article Series: Ankle Instability
  
• Outcomes of the Modified Brostrom Procedure Using Suture Anchors for Chronic Lateral Ankle Instability—A Prospective, Randomized Comparison between Single and Double Suture Anchors
  
• Intermediate- to Long-Term Longevity and Incidence of Revision of the Modified Broström-Gould Procedure for Lateral Ankle Ligament Repair: A Systematic Review
  
• Effect of Preoperative Stress Radiographic Findings on Radiographic and Clinical Outcomes of the Modified Broström Procedure for Chronic Ankle Instability
  
• Postoperative Outcome of the Modified Broström Procedure in the Active Duty Military Population: A Retrospective Cohort Study

Day 2: Role of Arthroscopy in Lateral Ankle Stabilization

Clinical Sessions:
Arthroscopic Stabilizations are the Future of Lateral Ankle Instability

Podcasts:
Inside Out Ankle Stabilization 

Ch 16-1: Arthrodiastasis, Arthroscopic Stabilization

JFAS Articles:

• The “All Inside” Arthroscopic Broström Procedure: A Prospective Study of 40 Consecutive Patients
• The “All-Inside” Arthroscopic Broström Procedure Augmented With a Proximal Suture Anchor: An Innovative Technique
• Analysis of Two Different Arthroscopic Broström Repair Constructs for Treatment of Chronic Lateral Ankle Instability in 110 Patients: A Retrospective Cohort Study
• Ankle Stabilization With Arthroscopic Versus Open With Suture Tape Augmentation Techniques
• A Biomechanical Comparison of 3 Different Arthroscopic Lateral Ankle Stabilization Techniques in 36 Cadaveric Ankles
  

Day 3: Revision, Secondary, & Ancillary Stabilization

Clinical Sessions:

• Secondary Ankle Stabilization: Allograft vs. Autograft
  
• Ankle Arthroplasty in the Varus Ankle with Lateral Collateral Ligament Instability

Podcasts:
None

E-Book Chapters:
None

Journal Articles:

• A Comparison of Split Peroneus Brevis Tendon and Semitendinosus Allograft Tendon for Lateral Ankle Ligament Reconstruction
• An Anatomic and Autologous Lateral Ankle Stabilization
• Autologous Split Peroneus Longus Lateral Ankle Stabilization
• Efficacy and Safety of Split Peroneal Tendon Lateral Ankle Stabilization