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This study introduces a \u201cmodified suture augmentation\u201d technique, which uses an individualized portal placement and arthroscopic lasso\u2010loop suturing, followed by a flexible \u201cturn\u2010back\u201d reinforcement of the anterior talofibular ligament using the suture limbs. This all\u2010inside, suture\u2010based augmentation method aims to provide anatomic reconstruction and enhanced stability while potentially avoiding the risk of joint stiffness associated with rigid internal bracing.<\/jats:p>","DOI":"10.1002\/atn2.70256","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:07:34Z","timestamp":1791868054000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified All\u2010Inside Arthroscopic Anterior Tibiofibular Ligament Repair and Reinforcement in Chronic Ankle Instability"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5133-0737","authenticated-orcid":false,"given":"Huige","family":"Hou","sequence":"first","affiliation":[{"name":"Department of Sports Medicine The First Affiliated Hospital Guangdong Provincial Key Laboratory of Speed Capability The Guangzhou Key Laboratory of Precision Orthopedics and Regenerative Medicine Jinan University  Guangzhou P. 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