UMMS Affiliation

Department of Orthopaedic Surgery, Division of Sports Medicine

Publication Date


Document Type



Sprains and Strains; Ankle; Lateral Ligament, Ankle; Ankle Injuries


Life Sciences | Medicine and Health Sciences | Orthopedics


Ankle sprains are very common injuries seen in the athletic and young population. Majority of patients will improve with a course of rest and physical therapy. However, with conservative management about twenty percent of all patients will go on to develop chronic lateral ankle instability. This manuscript describes our detailed surgical technique of a modification to the original Brostrom procedure using three suture anchors to anatomically reconstruct the lateral ankle ligaments to treat high demand patients who have developed chronic lateral ankle instability. The rationale for this modification along with patient selection and workup are discussed. Both the functional outcomes at the two year follow up along with the complications and the detailed postoperative rehabilitation protocol for the high demand athletes are also presented. This modified Brostrom procedure is shown in both illustrative format and intra-operative photos.

Rights and Permissions

© 2009 Li et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

DOI of Published Version



J Orthop Surg Res. 2009 Dec 2;4:41. Link to article on publisher's site

Journal/Book/Conference Title

Journal of orthopaedic surgery and research

Related Resources

Link to Article in PubMed

PubMed ID