Use of an all-suture anchor for re-creation of the anterior talofibular ligament: a case report

J Foot Ankle Surg. 2015 Jan-Feb;54(1):126-9. doi: 10.1053/j.jfas.2014.08.020. Epub 2014 Oct 16.


The lateral ankle ligament complex is typically injured during athletic activity caused by an inversion force on a plantar flexed foot. Numerous open surgical procedures to reconstruct the lateral ankle complex have been described. In contrast, we present a case report in which an all-suture anchor was used arthroscopically to re-create the anterior talofibular ligament in conjunction with ankle arthroscopy. A retrospective analysis of a 55-year-old male with a work-related inversion ankle sprain was performed with 14 months of follow-up. Objective and subjective assessments were obtained using range of motion measures, a strength assessment, and the Foot Function Index. An all-suture anchor was deployed through the anterolateral portal and secured in both the fibula and talus, re-creating the anterior talofibular ligament at its origin and insertion. Active range of motion physical therapy began at 2 weeks postoperatively. The patient started a neuromuscular re-education program at 5 weeks with minimal pain or discomfort. A return to full duty was achieved at 3 months postoperatively. To our knowledge, the use of an all-suture anchor has not been previously reported for lateral ankle complex re-creation. It is hoped that this approach to anterior talofibular ligament repair will decrease the incidence of complications and improve outcomes.

Keywords: all-suture anchor; ankle; anterior talofibular ligament; arthroscopy; re-creation.

MeSH terms

  • Ankle Injuries / surgery*
  • Arthroscopy
  • Fibula / surgery
  • Humans
  • Lateral Ligament, Ankle / injuries*
  • Lateral Ligament, Ankle / surgery*
  • Male
  • Middle Aged
  • Suture Anchors*
  • Suture Techniques
  • Talus / surgery