Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Multidirectional Instability of the Ankle: Surgical Reconstruction

Dodd, Andrew MD, FRCSC; Daniels, Timothy R. MD, FRCSC

Techniques in Foot & Ankle Surgery: March 2017 - Volume 16 - Issue 1 - p 46–52
doi: 10.1097/BTF.0000000000000128
CME Article

Lateral ligamentous instability of the ankle is common, and numerous surgical techniques have been described to repair or reconstruct the lateral ligaments. Medial-sided ankle instability has become increasingly appreciated in recent years. Many patients present with multidirectional ankle instability and need both medial and lateral ligament reconstructions. We describe a surgical technique for managing patients with multidirectional instability of the ankle using hamstring autograft and readily available surgical instruments.

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

*Clinical Fellow, Division of Orthopaedic Surgery, St. Michael’s Hospital and the University of Toronto, Toronto, ON

Head, Division of Orthopaedic Surgery, St. Michael’s Hospital, Toronto, ON

Professor, the University of Toronto, Toronto, ON, Canada

The authors and staff in a position to control the content of this CME activity and their spouses/life partners (if any) have disclosed that they have no relationships with, or financial interests in, any commercial organizations pertaining to this educational activity.

Address correspondence and reprint requests to Andrew Dodd, MD, FRCSC, Division of Orthopaedic Surgery, St Michael’s Hospital and the University of Toronto, 800-55 Queen Street East, Toronto, ON, Canada M5C 1R6. E-mail:


Techniques in Foot & Ankle Surgery includes CME-certified content that is designed to meet the educational needs of its readers. This activity is available for credit through February 28, 2018.

Earn CME credit by completing a quiz about this article. You may read the article here, on the TFAS website, or in the TFAS iPad app, and then complete the quiz, answering at least 80 percent of the questions correctly to earn CME credit. The cost of the CME exam is $10. The payment covers processing and certificate fees. If you wish to submit the test by mail, send the completed quiz with a check or money order for the $10.00 processing fee to the Lippincott CME Institute, Inc., Wolters Kluwer Health, Two Commerce Square, 2001 Market Street, 3rd Floor, Philadelphia, PA 19103. Only the first entry will be considered for credit, and must be postmarked by the expiration date. Answer sheets will be graded and certificates will be mailed to each participant within 6 to 8 weeks of participation.

Need CME STAT? Visit for immediate results, other CME activities, and your personalized CME planner tool.

Accreditation Statement

Lippincott Continuing Medical Education Institute, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement

Lippincott Continuing Medical Education Institute, Inc., designates this journal-based CME activity for a maximum of 1 (one) AMA PRA Category 1 CreditTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved