Special Focus: Techniques Using Hamstring Autograft in Foot and Ankle Tendon and Ligament ReconstructionReconstruction of Chronic Ankle Instability With Hamstring AutograftKarnovsky, Sydney C. BA*; Cabe, Taylor N. BA*; Drakos, Mark C. MD†Author Information *Hospital for Special Surgery †Department of Orthopedic Surgery, Foot and Ankle, Hospital for Special Surgery, New York, NY All patients were enrolled in our ankle instability study which was approved by our institution’s Foot and Ankle Registry, which is IRB approved. M.C.D. is a paid consultant for Extremity Medical and Fast Form, neither of whose products are involved in the current study. The remaining authors declare no conflict of interest. Address correspondence and reprint requests to Taylor N. Cabe, BA, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021. E-mail: email@example.com. Techniques in Foot & Ankle Surgery: March 2018 - Volume 17 - Issue 1 - p 19-26 doi: 10.1097/BTF.0000000000000182 Buy Metrics Abstract There are varied techniques in the literature for operative treatment of chronic ankle instability. Historically, ankle instability has been treated through direct repair, using imbrication of attenuated tissues. However, direct repair often is not a suitable option for patients with chronic instability that has developed as a result of generalized ligamentous laxity, failed previous stabilization, or paucity of competent local tissue. For these patients, reconstruction of the lateral ligaments is indicated and has been performed using various types of grafts, including semitendinosus grafts, gracilis grafts, peroneal grafts, plantaris grafts, and extensor digitorum longus grafts. We advocate using a hamstring autograft, either gracilis or semitendinosus, depending on the size of the patient’s tendons, to operatively reconstruct the lateral ligaments in patients with chronic ankle instability. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.