The purpose of this procedure is to stabilize the ankle, improve the ankle’s mechanics and restore full function. This procedure also aims to help a patient reduce pain related to their injury and ankle sprains, as well as to avoid early arthrosis. Many patients who have this procedure will also notice that they experience ankle sprains far less often. Some patients will experience no ankle sprains after this procedure unless they experience a trauma to their ankle.
During a Broström procedure the patient will be put to sleep under general anesthesia. Once asleep the surgeon will thoroughly clean the area that will be operated on. They will then make all necessary incisions. Once the incisions are made they will repair any damaged lateral ankle ligaments in the hope of restoring the ankle back to its pre-injury state. This procedure can also include shortening and reattaching the lateral ligaments to reconstruct them. Once all of the repairs are made the surgeon will suture the incisions and apply any necessary bandages.
Arthrex has developed a simple, safe, and reproducible technique using the BioComposite SwiveLock® and FiberTape®. InternalBrace™ ligament augmentation repair can be used to augment to a Broström procedure. InternalBrace ligament augmentation repair allows the surgeon to correct lateral or medial ankle instability. It can be used in acute and chronic ankle sprains.
The Brostrom Repair System allows surgeons to perform a modified Broström-Gould procedure through a single, 1.5 cm incision. The convenient all-in-one system includes 2 BioComposite™ SutureTak® anchors, all the necessary drill guides, the Micro SutureLasso retrievers to help facilitate percutaneous shuttling of the #1 FiberWire® suture through the ATFL and extensor retinaculum.
Those who have had this procedure done are expected to have a stronger ankle, meaning their ankle will no longer give out on them. It is estimated that most patients who have this procedure experience restored stability. Success can be achieved regardless how soon the ankle is repaired after a patient’s ankle instability issues occur, but the results are slightly better when the surgery is performed sooner. According to another study, most patients reported good to excellent results. Their ankles felt stable, and after they completely recovered, they noticed improved stability and significant restoration of function. However, patients may still experience temporary soreness in the ankle upon returning to sports or other physical activity. Swelling may also occur after exercise. In which case, doctors recommend continually icing even after full recovery from the procedure.