Anatomic lateral ankle reconstruction with tendon allograft after failed brostrom. A case series and surgical technique guide

Abstract

The current literature offers reconstruction options after a failed Brostrom-Gould but fails to demonstrate a durable option with multiple points of fixation in more than one anatomic plane without compromising adjacent soft tissue. This new and innovative surgical technique guide displays the use of semitendinosus tendon allograft in 22 ankles between January 2016 and December 2020 for treatment of recurrent lateral ankle instability after Brostrom-Gould failure. The average follow up time was 30 months and three patients were lost to follow up. Patients returned to regular shoe gear on average by 11 weeks. Three postoperative complications required return to the operating room for incision dehiscence or revision reconstruction. Eleven patients required advanced imaging postoperatively due to a new injury and only one patient compromised their reconstruction. In conclusion, our results demonstrate a new, reproducible lateral ankle ligament reconstruction technique that has been able to withstand repeat inversion.

Keywords

• Lateral ankle ligament reconstruction
• Anatomic reconstruction
• Lateral ankle stabilization
• Semitendinosus allograft