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The Addition of an “Internal Brace” to Augment the Broström Technique for Lateral Ankle Ligament Instability

Mackay, Gordon M. BSc, FRCS(Orth), FFSEM(UK), MD; Ribbans, William J. PhD, FRCS(Orth), FFSEM(UK)

Techniques in Foot & Ankle Surgery: March 2016 - Volume 15 - Issue 1 - p 47–56
doi: 10.1097/BTF.0000000000000111

This article describes the augmentation of a Broström anatomic repair for ankle lateral ligament instability by the use of the internal brace. The paper describes the role of the internal brace in allowing the natural tissues to progressively strengthen while encouraging early rehabilitation. The surgical technique is outlined and the early clinical outcomes both by the inventor surgeon (G.M.M.) and an independent surgeon (W.J.R.) described.

Level of Evidence:Diagnostic Level 4. See Instructions for Authors for a complete description of levels of evidence.

*School of Sport University of Stirling, University of Stirling, Dunblane, Perthshire, Scotland

School of Health University of Northampton, University of Northampton, Northampton, Northamptonshire, UK

G.M.M. and W.J.R. are Arthrex Consultants.

Address correspondence and reprint requests to Gordon M. Mackay, BSc, FRCS(Orth), FFSEM(UK), MD, School of Sport University of Stirling, University of Stirling, 32 Grant Drive, Dunblane FK15 9HU, Perthshire, Scotland. E-mail:

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