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Chronic Ankle Instability

Chronic ankle instability is a condition characterized by a recurring giving way of the outer (lateral) side of the ankle. This condition often develops after repeated ankle sprains. Usually, the giving way occurs while walking or running on uneven surfaces or sloped surfaces.

Most people who suffer an ankle sprain will recover with Physio and retraining. A select small number go on to develop CAI.

The traditional surgical technique of Brostrum Reconstruction is the direct repair of the ruptured ligaments back onto the bone. This requires the patient to be in a cast for 6 weeks till the ligaments heal back on.

I am sharing a new surgical technique with the augmentation repair using a Gracilis Tendon graft to reconstruct the ATFL and CF ligament. This technique does not require casting and allows for the early mobilisation of the joint and return to activity.

We recently presented this paper as a poster presentation at a research meeting and I am sharing this technique below.

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