New technique for reapproximation of the calcaneofibular ligament after double ligament rupture.

Ankle sprains are often inadequately treated in the emergency room, because of the feeling that, "It is only a sprain." A thorough examination is performed at St. John Hospital Macomb Center to determine the extent of ligamentous damage. If a double ligament rupture presents, and surgical intervention is necessary, a procedure similar to the one described by Bröstrom is performed. The calcaneofibular ligament's frayed ends, as well as its location, make suturing the ligament difficult. Utilizing medium-sized Ligaclips on either side of the rupture provides an excellent scaffold for reapproximation of the calcaneofibular ligament. The Ligaclips could also be used to determine if a re-rupture has occurred.