Percutaneous anterior talofibular ligament repair: A new technique for chronic ankle instability

Figure 1 Patient selection flowchart. TP-MBR: Totally percutaneous modified Broström repair.

Figure 2  Intraoperative assessment of anterior talofibular ligament insufficiency: Arthroscopic view and fluoroscopic stress examination. A: Diagnostic ankle arthroscopy showing the anterior talofibular ligament tear; B: Intraoperative ankle anteroposterior view in neutral position; C: Intraoperative stress varus view under C-arm guidance.

Figure 3 Sequential steps of percutaneous modified Broström repair for anterior talofibular ligament reconstruction. A: Anatomical landmark identification for percutaneous modified Broström repair; B-D: Pilot hole creation and suture anchor placement at the anatomical origin of the anterior talofibular ligament on the fibula; E: Suture passage and retinaculum reinforcement showing subcutaneous passage of sutures through the inferior extensor retinaculum; F and G: Suture tying, soft tissue release, and closure of wound; H: Intraoperative C-arm view of suture anchor placement for anterior talofibular ligament repair demonstrating optimal positioning.