title: Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors.
abstract: In recent years, arthroscopic and arthroscopically assisted techniques have been increasingly used to reconstruct the lateral ligaments of the ankle. Besides permitting the treatment of several comorbidities, arthroscopic techniques are envisioned to lower the amount of surgical aggression and to improve the assessment of anatomic structures. We describe our surgical technique for arthroscopic, two-portal ankle ligament repair using an all-soft knotless anchor, which is made exclusively of suture material. This technique avoids the need for classic knot-tying methods. Thus it diminishes the chance of knot migration caused by pendulum movements. Moreover, it avoids some complications that have been related to the use of metallic anchors and some currently available biomaterials. It also prevents prominent knots, which have been described as a possible cause of secondary complaints.
authors.affiliation: Orthopedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal; 3B's Research Group-Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's-PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Ripoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, Spain.
authors.forename: Hélder
authors.initials: H
authors.lastname: Pereira
authors.affiliation: Orthopedic Department, Amsterdam Medical Centre, Amsterdam, The Netherlands.
authors.forename: Gwen
authors.initials: G
authors.lastname: Vuurberg
authors.affiliation: Orthopedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal.
authors.forename: Nuno
authors.initials: N
authors.lastname: Gomes
authors.affiliation: 3B's Research Group-Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's-PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Ripoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, Spain.
authors.forename: Joaquim Miguel
authors.initials: JM
authors.lastname: Oliveira
authors.affiliation: Ripoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, Spain.
authors.forename: Pedro L
authors.initials: PL
authors.lastname: Ripoll
authors.affiliation: 3B's Research Group-Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's-PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain.
authors.forename: Rui Luís
authors.initials: RL
authors.lastname: Reis
authors.affiliation: 3B's Research Group-Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's-PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain.
authors.forename: João
authors.initials: J
authors.lastname: Espregueira-Mendes
authors.affiliation: Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Orthopedic Department, Amsterdam Medical Centre, Amsterdam, The Netherlands.
authors.forename: C
authors.initials: C
authors.lastname: Niek van Dijk