{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:30:05Z","timestamp":1789997405637,"version":"4.0.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2015,3,12]],"date-time":"2015-03-12T00:00:00Z","timestamp":1426118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Secondary surgical repair of ankle ligaments is often indicated in cases of chronic lateral ankle instability. Recently, arthroscopic Brostr\u00f6m techniques have been described, but biomechanical information is limited. The purpose of the present study was to analyze the biomechanical properties of an arthroscopic Brostr\u00f6m repair and augmented repair with a proximally placed suture anchor. It was hypothesized that the arthroscopic Brostr\u00f6m repairs would compare favorably to open techniques and that augmentation would increase the mean repair strength at time zero.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty (10 matched pairs) fresh-frozen foot and ankle cadaveric specimens were obtained. After sectioning of the lateral ankle ligaments, an arthroscopic Brostr\u00f6m procedure was performed on each ankle using two 3.0-mm suture anchors with #0 braided polyethylene\/polyester multifilament sutures. One specimen from each pair was augmented with a 2.9-mm suture anchor placed 3 cm proximal to the inferior tip of the lateral malleolus. Repairs were isolated and positioned in 20 degrees of inversion and 10 degrees of plantarflexion and loaded to failure using a dynamic tensile testing machine. Maximum load (N), stiffness (N\/mm), and displacement at maximum load (mm) were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no significant differences between standard arthroscopic repairs and the augmented repairs for mean maximum load and stiffness (154.4 \u00b1 60.3 N, 9.8 \u00b1 2.6 N\/mm vs 194.2 \u00b1 157.7 N, 10.5 \u00b1 4.7 N\/mm, P = .222, P = .685).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Repair augmentation did not confer a significantly higher mean strength or stiffness at time zero.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance:<\/jats:title>\n                    <jats:p>Mean strength and stiffness for the arthroscopic Brostr\u00f6m repair compared favorably with previous similarly tested open repair and reconstruction methods, validating the clinical feasibility of an arthroscopic repair. However, augmentation with an additional proximal suture anchor did not significantly strengthen the repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1071100715576539","type":"journal-article","created":{"date-parts":[[2015,3,12]],"date-time":"2015-03-12T22:12:41Z","timestamp":1426198361000},"page":"836-841","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":48,"title":["Biomechanical Analysis of an Arthroscopic Brostr\u00f6m Ankle Ligament Repair and a Suture Anchor\u2013Augmented Repair"],"prefix":"10.1177","volume":"36","author":[{"given":"Eric","family":"Giza","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott R.","family":"Whitlow","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of California, Davis, Sacramento, CA, USA"},{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brady T.","family":"Williams","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge I.","family":"Acevedo","sequence":"additional","affiliation":[{"name":"Southeast Orthopedic Specialists, Jacksonville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter G.","family":"Mangone","sequence":"additional","affiliation":[{"name":"Blue Ridge Bone and Joint, Asheville, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Thomas","family":"Haytmanek","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"},{"name":"The Steadman Clinic, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eugene E.","family":"Curry","sequence":"additional","affiliation":[{"name":"The Carrell Clinic, Dallas, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis Lee","family":"Turnbull","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"LaPrade","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"},{"name":"The Steadman Clinic, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Coen A.","family":"Wijdicks","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas O.","family":"Clanton","sequence":"additional","affiliation":[{"name":"The Steadman Clinic, Vail, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,3,12]]},"reference":[{"key":"bibr1-1071100715576539","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e318229bdb8"},{"key":"bibr2-1071100715576539","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000183737.43245.26"},{"key":"bibr3-1071100715576539","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713477622"},{"issue":"5","key":"bibr4-1071100715576539","first-page":"551","volume":"132","author":"Brostr\u00f6m L","year":"1966","journal-title":"Acta Chir 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