The Broström operation is a repair of ligaments on lateral ankle. It is designed to address ankle instability. More importantly, it is primarily used to repair the ATFL ( anterior talofibular ligament  ) in the ankle. It is thought that the majority of patients regain most function in their ankles. The recovery time for the procedure varies according to the patient but usually takes a minimum of 3–6 months. Surgical Technique: URL Incision is made over border of lateral malleolus; peroneal tendon exploration would require a posterolateral longitudinal incision; Surgeons care for peroneal tendons, sural nerve and lesser saphenous vein (which might be ligated), and branches of the superficial peroneal nerve; Proceeding through subcutaneous tissue, identify and preserve the inferior extensor retinaculum; - this is mobilized for later attachment to the anterior edge of the fibula; - identify the ATFL,if it is torn, it is usually torn from the fibula; - make anterior capsular incision, leaving a small cuff of tissue, identify the CFL at the inferior tip of the fibula;ankle is then placed in valgus and dorsiflexion, and the redundancy of the ligament is assessed; sutures are passed through the proximal edges of the ATFL and CFL; drill holes are made in the distal fibula; sutures are passed through the drill holes, and are tied; the posterior edge of the extensor retinaculum is then opposed to the anterior edge of the fibula;
The Broström operation is a repair of ligaments on lateral ankle. It is designed to address ankle instability. More importantly, it is primarily used to repair the anterior talofibular ligament (ATFL ) in the ankle. It is thought that the majority of patients regain most function in their ankles. The recovery time for the procedure varies according to the patient but usually takes a minimum of 3–6 months. Surgical Technique: URL Incision is made over border of lateral malleolus; peroneal tendon exploration would require a posterolateral longitudinal incision; Surgeons care for peroneal tendons, sural nerve and lesser saphenous vein (which might be ligated), and branches of the superficial peroneal nerve; Proceeding through subcutaneous tissue, identify and preserve the inferior extensor retinaculum; - this is mobilized for later attachment to the anterior edge of the fibula; - identify the ATFL,if it is torn, it is usually torn from the fibula; - make anterior capsular incision, leaving a small cuff of tissue, identify the calcaneofibular ligament (CFL) at the inferior tip of the fibula;ankle is then placed in valgus and dorsiflexion, and the redundancy of the ligament is assessed; sutures are passed through the proximal edges of the ATFL and CFL; drill holes are made in the distal fibula; sutures are passed through the drill holes, and are tied; the posterior edge of the extensor retinaculum is then opposed to the anterior edge of the fibula;
D
ATFL (
A
(ATFL
R
CFL
calcaneofibular ligament (CFL)