Revision anatomical reconstruction of the lateral ligaments of the ankle augmented with suture tape for patients with a failed Brostrom procedure

Aims The aim of this prospective study was to evaluate the intermediate-term outcomes after revision anatomical ankle ligament reconstruction augmented with suture tape for a failed modified Brostrom procedure. Patients and Methods A total of 30 patients with persistent instability of the ankle after a Brostrom procedure underwent revision augmented with suture tape. Of these, 24 patients who were followed up for more than two years were included in the study. There were 13 men and 11 women. Their mean age was 31.8 years (23 to 44). The mean follow-up was 38.5 months (24 to 56) The clinical outcome was assessed using the Foot and Ankle Outcome Score (FAOS) and the Foot and Ankle Ability Measure (FAAM) score. The stability of the ankle was assessed using stress radiographs. Results The mean FAOS and FAAM scores improved significantly to 87.5 (73 to 94) and 85.1 (70 to 95) points at final follow-up, respectively (p < 0.001). The mean angle of talar tilt and anterior talar translation improved significantly to 2.8 degrees (0 degrees to 6 degrees) and 4.1 mm (2 to 7) at final followup, respectively (p < 0.001). Side to side comparison in stress radiographs at final follow-up showed no significant difference. The revision failed in one patient who underwent a further revision using allograft tendon. Conclusion The revision modified Brostrom procedure augmented with suture tape is an effective form of treatment for recurrent instability of the ankle following a failed Brostrm procedure. This technique provides reliable stability and satisfactory clinical outcomes at intermediate-term follow-up.