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Brostrom repair

  • ATFL/CFL sheet are reattached
  • multiple sutures are placed between sheet & periosteum still attached to fibula, these are initially clipped & then tied once all are placed
  • Inferior extensor retinaculum
    • needs to be identified
    • exposed as separate sheet
    • then sutured over top of ATFL/CFL repair in similar fashion whilst holding ankle everted
  • back slab is then applied with foot in eversion

Postoperative

  • 2 weeks
    • change to full cast in eversion
  • 6 weeks
    • cast remove
    • FWB is then started
    • refer to physiotherapists
      • proprioceptive
      • strength training exercises