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This article is the author's final published version in Arthroscopy, Sports Medicine, and Rehabilitation, Volume 5, Issue 5, 2023, Article number 100762.

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Copyright © 2023 THE AUTHORS. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.

This is an open access article under the CC BY-NC-ND license (


PURPOSE: To evaluate the return to sport and daily activities in addition to clinical outcomes after modification of the Brostöm repair, specifically using suture augmentation for concomitant fixation of both the anterior talofibular ligament and calcaneofibular ligament.

METHODS: Patients who had grade III ankle sprains and lateral ankle instability, all of whom failed supervised conservative management, were included. Patients underwent a modified Broström procedure consisting of suture augmentation for both the anterior talofibular ligament and calcaneofibular ligament. For clinical outcome evaluation, Foot and Ankle Ability Measure (FAAM) and Karlsson-Peterson Scoring System for Ankle Function questionnaires coupled with questions regarding time of return to sport and level of sports activity were used.

RESULTS: Thirty-one patients were included. The differences in preoperative and postoperative FAAM scores for both the Activities of Daily Living subscale and Sports subscale were significant (

CONCLUSIONS: This variant Broström procedure with suture anchors and augmentation of both the anterior talofibular ligament and calcaneofibular ligament was effective in helping patients return to their preinjury functionality level in both daily life and sports activity.

LEVEL OF CLINICAL EVIDENCE: Level IV, therapeutic case series.

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