Treatment algorithm for chronic lateral ankle instability

Sandro Giannini, Alberto Ruffilli, Gherardo Pagliazzi, Antonio Mazzotti, Giulia Evangelisti, Roberto Buda, Cesare Faldini

Research output: Contribution to journalArticlepeer-review


Introduction: ankle sprains are a common sportsrelated injury. A 20% of acute ankle sprains results in chronic ankle instability, requiring surgery. Aim of this paper is to report the results of a series of 38 patients treated for chronic lateral ankle instability with anatomic reconstructionMaterials and methods: thirty-eight patients were enrolled in the study. Seventeen patients underwent a surgical repair using the Brostrom-modified technique, while the remaining underwent anatomic reconstruction with autologous or allogenic graftResults: at a mean follow-up of 5 years the AOFAS score improved from 66.1 ± 5.3 to 92.2 ± 5.6Discussion: the findings of this study confirm that anatomic reconstruction is an effective procedure with satisfactory subjective and objective results which persist at long-term follow-up along with a low complication rate. No differences, in term of clinical and functional outcomes, were observed between the Brostrom-modified repair and the anatomic reconstruction technique. Level of evidence: level IV.

Original languageEnglish
Pages (from-to)455-460
Number of pages6
JournalMuscles, Ligaments and Tendons Journal
Issue number4
Publication statusPublished - 2015


  • Anatomic reconstruction
  • Ankle sprain
  • Chronic ankle instability
  • Plantaris

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine


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