Outcomes of Single vs Double Incision Broström–Gould with Adjuvant Procedures for Chronic Lateral Ankle Instability: A Retrospective Review of 110 Cases

evaluation of patient-reported outcome scores using the Foot and Ankle Ability Measure (FAAM). IntroductIonChronic ankle instability is a known sequela of ankle sprains, occurring in 20-40% of conservatively managed ankle sprains. 1,2atients with chronic ankle instability often experience recurrent sprains, apprehension while walking on uneven surfaces, pain, and swelling.These symptoms may be managed with nonoperative measures such as bracing and strengthening exercises. 3,4For the 15-20% of patients who fail conservative treatment, operative intervention is indicated. 5he Brostrm-Gould (BG) procedure is the gold standard surgical intervention for treating chronic ankle instability.Depending on the presenting pathology and individual patient, additional procedures such as sliding lateralizing calcaneal osteotomy and peroneal tendon debridement and repair may be warranted.These adjuvant procedures are indicated for patients exhibiting cavovarus feet or peroneal tendon dysfunction, respectively.Furthermore, additional pathologies are commonly addressed through the use of multiple incisions. [6][7]][8] The purpose of this study is twofold: (1) to determine whether a single-incision approach is equally effective as a dual-incision approach for the treatment of chronic ankle instability, and (2) if the single-incision approach offers a reduction in complications such as wound breakdown, surgical site infection, or damage to the surrounding structures.Secondary outcomes include the