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When nonoperative treatment fails, the modified Brostr\u00f6m procedure remains the gold standard surgical treatment, with consistently high reported success rates. Nevertheless, a proportion of patients have recurrent instability and require revision surgery. Lateral ankle ligament reconstruction (LALR) is one of the available revision options, but evidence remains limited. Recent literature showed that the primary modified Brostr\u00f6m procedure consistently produces superior functional and pain outcomes at midterm follow\u2010up, with more patients achieving the minimal clinically important difference, compared with revision LALR. Findings should not be interpreted as evidence against revision LALR, but rather as a reflection of the different environment in which revision surgery is performed. Revision LALR can still provide clinically meaningful improvement, and patients should be counselled, with expectations managed to the revision context rather than benchmarking it against the outcomes of successful primary repair.<\/jats:p>","DOI":"10.1002\/arj.70376","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T10:23:57Z","timestamp":1779531837000},"page":"1050-1051","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Editorial Commentary<\/i>\n                    : Revision Lateral Ankle Ligament Reconstruction Improves Symptoms, but Outcomes Reflect the Revision Context"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8345-1648","authenticated-orcid":false,"given":"Julian J.","family":"Hollander","sequence":"first","affiliation":[{"name":"Amsterdam UMC, Location AMC University of Amsterdam  Amsterdam The Netherlands"},{"name":"Amsterdam Movement Sciences Programs Sports and Musculoskeletal Health  Amsterdam The Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES) Amsterdam UMC  Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center, Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gino M.M.J.","family":"Kerkhoffs","sequence":"additional","affiliation":[{"name":"Amsterdam UMC, Location AMC University of Amsterdam  Amsterdam The Netherlands"},{"name":"Amsterdam Movement Sciences Programs Sports and Musculoskeletal Health  Amsterdam The Netherlands"},{"name":"Academic Center for Evidence based Sports medicine (ACES) Amsterdam UMC  Amsterdam The Netherlands"},{"name":"Amsterdam Collaboration for Health and Safety in Sports (ACHSS) International Olympic Committee (IOC) Research Center, Amsterdam UMC  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2016-096189"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-017-4556-0"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2017.05.018"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2020.11.001"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720945703"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.99B9.BJJ-2017-0144.R1"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2018.07.006"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2020.10.005"},{"key":"e_1_2_3_10_1","first-page":"1041","article-title":"Primary modified Brostr\u00f6m procedure shows superior outcome to revision to lateral ankle ligament reconstruction in patients with chronic lateral ankle instability at 5\u2010year follow\u2010up","volume":"42","author":"Lee JW","year":"2026","journal-title":"Arthroscopy"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70376","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70376","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70376","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:14:06Z","timestamp":1781270046000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,23]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/arj.70376"],"URL":"https:\/\/doi.org\/10.1002\/arj.70376","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,23]]},"assertion":[{"value":"2026-05-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}