Ankle Instability Surgery
A 26-year-old recreational soccer player presents with recurrent right ankle "giving way" episodes over 2 years following an initial lateral ankle sprain. Despite 6 months of dedicated physiotherapy including proprioceptive training and consistent use of a lace-up ankle brace during activities, she continues to experience 4-5 instability episodes per month. Examination reveals a positive anterior drawer test (8mm translation vs 3mm contralateral), talar tilt of 18° (vs 6° contralateral), and no generalized ligamentous laxity (Beighton score 2/9). MRI confirms chronic ATFL rupture with poor tissue quality, intact CFL, and no osteochondral lesion. She wishes to continue playing soccer. Regarding surgical options for chronic lateral ankle instability:
Mark each as TRUE or FALSE
The BROSTROM PROCEDURE (1966) is an ANATOMIC repair that involves imbrication/shortening and repair ...
ADVANTAGES of Brostrom-Gould (anatomic repair): preserves native anatomy, maintains normal ankle and...
The Brostrom procedure is a non-anatomic reconstruction; the Gould modification uses the peroneus br...
SURGICAL TECHNIQUE: lateral approach (modified Kocher); identify and protect superficial peroneal ne...
POST-OPERATIVE PROTOCOL: below-knee cast/boot 2 weeks (non-weight-bearing), then progressive weight-...
Answer the questions to see explanations
Click T (True) or F (False) for each option