Evaluation of the arthroscopic Broström-Gould procedure for the treatment of chronic instability of the upper ankle joint (2021-10 dissertation).

The ankle joint provides the connection between the lower leg and the foot. It transmits the weight
and the axially acting forces of the upper half of the body via the talus to the hindfoot, midfoot and forefoot.
Stability and functionality are ensured by a complex interplay of bones, muscles and capsule/ligamentous apparatus.
ligamentous apparatus. The lateral capsule/ligamentous apparatus plays a particularly important role in the
ligamentous apparatus in interaction with the peroneal musculature. These structures are therefore at high risk of injury.
Acute external ligament injury is one of the most common injuries and thus a daily challenge for every surgeon.
challenge for every surgeon. Despite the good to very good healing rates, there is a risk of
chronicity in 20-40% of patients.
The consistent further development and establishment of new treatment paths is therefore imperative.
The application of early functional concepts with physiotherapeutic exercise to restore stability and functionality must be
to restore stability and functionality in order to avoid re-injury or chronicity.
or chronification.
If the presence of symptomatic chronic upper ankle instability is clinically confirmed and
instability of the upper ankle, after all conservative measures have been exhausted, surgical treatment is
a surgical treatment tailored to the individual patient. There are a number of open and increasingly also arthroscopic
arthroscopic surgical procedures.
The present study deals with an arthroscopic modification of the surgical method according to
Broström-Gould.

The MediBalance PRO was used analytically in the context of the dissertation (p. 35 ff.).