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The Brostrom procedure is a surgical technique primarily designed to address chronic ankle instability, particularly when caused by the injury of the lateral ankle ligaments, specifically the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). Unlike other surgical options, the Brostrom procedure aims to restore the normal anatomy and mechanics of the ankle by tightening the weakened ligaments, thereby providing enhanced stability and function. During the procedure, the surgeon typically makes an incision on the lateral aspect of the ankle to access the damaged ligaments. Once the ligaments are exposed, the surgeon evaluates the degree of slackness and any associated tears or lesions. The next step involves reinforcing the ATFL, which may be done through various means, including direct suturing of the ligament back to its attachment points or using surrounding tissues to create a more robust structure. This reattachment not only restores the ligament's length but also reinforces its function, thereby contributing to overall ankle stability. In some cases, additional procedures such as a lateral ankle reconstruction may be performed in conjunction with the Brostrom technique, especially when there is significant ligamentous damage or when the injuries are more complex. Following the stabilization of the damaged ligaments, the incised tissues are meticulously closed, and a compression bandage is typically applied to support the healing process. The rehabilitation phase post-surgery is critical for successfully restoring ankle function; patients often participate in a structured physical therapy program that gradually introduces weight-bearing exercises and balance training. Initial periods of rest and immobilization may be required, often using a brace or cast to limit movement and protect the surgical site. As healing progresses, range-of-motion exercises are introduced, and the therapist closely monitors the patient's recovery and function, eventually transitioning to strength-building exercises aimed at restoring full stability and mobility. Overall, the Brostrom procedure has a high success rate in alleviating instability and pain associated with chronic ankle injuries, allowing many patients to return to their pre-injury levels of activity, including sports and physical work. Long-term outcomes are generally favorable, with many studies indicating that patients experience significant improvements in ankle stability, function, and overall quality of life after undergoing this procedure. Moreover, while complications can occur, they are relatively rare and often manageable. In summary, the Brostrom procedure offers an effective surgical approach for individuals suffering from chronic lateral ankle instability, ultimately enabling them to regain their active lifestyles with improved confidence in their ankle's stability.