Confession Session: Chronic Ankle Instability Lateral Ligament Complex Reconstruction

Description

Rachael da Cunha discusses the complexities of reconstructive surgery for chronic ankle instability, emphasizing the modified Brostrom-Gould technique, which has a notable failure rate of up to 10%. She explores situations where more complex reconstructions may be necessary due to factors like significant instability or previous failures. Da Cunha details the surgical procedure, beginning with arthroscopy to assess the joint, followed by graft harvesting, and creating bone tunnels for the CFL and ATFL insertions. She outlines the importance of proper landmarking for tunnel placements and demonstrates the process of graft fixation with screws, including adjustments made during surgery for stability and effectiveness. Despite challenges encountered during the procedure, she emphasizes the importance of rigorous testing of the reconstruction to ensure its robustness.

DOI: 10.1302/3114-240555

Specialties