title: Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle.
abstract: Although several arthroscopic procedures for lateral ligament instability of the ankle have been reported recently, it is difficult to augment the reconstruction by arthroscopically tightening the inferior extensor retinaculum. There is also concern that when using the inferior extensor retinaculum, this is not strictly an anatomical repair since its calcaneal attachment is different to that of the calcaneofibular ligament. If a ligament repair is completed firmly, it is unnecessary to add argumentation with inferior extensor retinaculum. The authors describe a simplified technique, repair of the lateral ligament alone using a lasso-loop stitch, which avoids additionally tighten the inferior extensor retinaculum. In this paper, it is described an arthroscopic anterior talofibular ligament repair using lasso-loop stitch alone for lateral instability of the ankle that is likely safe for patients and minimal invasive.
  
  
  METHODS
  Therapeutic study, Level V.
authors.affiliation: Department of Orthopaedic Surgery, Teikyo Institute of Sports Science and Medicine, Teikyo University, 2-11-1 Kaga, Itabashi, Tokyo, 173-8605, Japan. mtakao@med.teikyo-u.ac.jp.
authors.forename: Masato
authors.initials: M
authors.lastname: Takao
authors.affiliation: Department of Orthopaedic Surgery, Teikyo Institute of Sports Science and Medicine, Teikyo University, 2-11-1 Kaga, Itabashi, Tokyo, 173-8605, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Matsui
authors.affiliation: Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: James W
authors.initials: JW
authors.lastname: Stone
authors.affiliation: Queen Elizabeth II Health Sciences Center Halifax Infirmary (Suite 4867), Dalhousie University, 1796 Summer Street, Halifax, NS, B3H 3A7, Canada.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Glazebrook
authors.affiliation: Hospital for Special Surgery, East River Professional Building, 523 East 72nd Street, Suite 507, New York, NY, 10021, USA.
authors.forename: John G
authors.initials: JG
authors.lastname: Kennedy
authors.affiliation: Centre for Orthopaedic Sports Surgery, Bordeaux-Mérignac, France.
authors.forename: Stephane
authors.initials: S
authors.lastname: Guillo
authors.affiliation: Chelsea and Westminster Hospital, UK Fortius Clinic, London, UK.
authors.forename: James D
authors.initials: JD
authors.lastname: Calder
authors.affiliation: Department of Orthopaedics, Sahlgrenska University Hospital, Sahlgrenska Academy, Gothenburg University, 431 80, Mölndal, Sweden.
authors.forename: Jon
authors.initials: J
authors.lastname: Karlsson
mesh_terms: D016512:Ankle Injuries / Q000601:surgery*; D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D017844:Lateral Ligament, Ankle / Q000293:injuries / Q000601:surgery*; D053441:Suture Anchors; D013536:Suture Techniques
keywords: Ankle arthroscopy; Anterior talofibular ligament; Arthroscopic repair; Lasso-loop stitch; Lateral instability of the ankle; Self-cinching stitch