Surgical Treatment for Simultaneous Medial and Lateral Ankle Instability in a Young Patient Engaged in High Physical Activities: A Case Report
10.14193/jkfas.2025.29.1.46
- Author:
Jun Young CHOI
1
;
Jin Soo SUH
Author Information
1. Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
- Publication Type:Case Report
- From:Journal of Korean Foot and Ankle Society
2025;29(1):46-51
- CountryRepublic of Korea
- Language:English
-
Abstract:
Multidirectional joint instability is a condition where laxity occurs in two or more directions. This condition typically arises congenitally or because of hypermobility or repetitive, excessive physical activity. It can also occur from chronic damage to the joint capsule and multiple ligaments, causing a breakdown in stability. Despite the numerous studies conducted on multidirectional instability of the shoulder, there is a lack of published research on multidirectional instability of the ankle. This paper reports the case of a male patient in his early 30s, engaged in high-demand physical activity, who presented with simultaneous medial and lateral ankle instability. The patient underwent a combination of procedures, including an anterior talofibular ligament reconstruction with suture tape, deltoid ligament reattachment with suture anchors, anteroinferior tibiofibular ligament reconstruction with suture tape, and syndesmotic screw fixation with Tightrope insertion. The patient was followed up for one year postoperatively. This paper reports the clinical outcomes with a review of the relevant literature.
