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Reconstruction of lateral ankle ligaments update

Slater GL, Walters EE & O'Malley M

The emergence of minimally invasive techniques for the reconstruction of lateral ankle ligaments has generated procedures that allow for the restoration of joint anatomy and kinematics while also limiting adverse post-surgical sequelae. Moreover, such advances have paved the way for the use of arthroscopy as a diagnostic tool, allowing for early identification and management of associated lesions and/or underlying pathologies. Our technique, which combines an arthroscopic approach with a direct anatomic reconstruction, has improved the diagnosis and management of intra-articular lesions. Moreover, it has facilitated the use of other minimally invasive techniques in conjunction with ligamentous repair, allowing for quicker post-operative recovery and better surgical outcomes. Both the literature review and our experience suggest that positive and long-lasting outcomes can be achieved through employment of our technique.