Technique Tips: Minimally Invasive Ankle Ligament Repair with a Knotless Suture Anchor

Let's talk about a new way to repair the ankle ligaments that doctors are trying out. It's all about making the surgery less painful and avoiding some common issues. There's a small, rigid scope called NanoScope that helps doctors see better without making big cuts. We'll focus on how they use it to fix the ATFL, a ligament that gets hurt a lot in sports injuries. The NanoScope has a tiny camera and a semirigid frame. It's only 1. 9 mm in diameter, so it makes smaller cuts. This can reduce problems like nerve damage and big scars. Doctors use it to see the ankle clearly without hurting the cartilage or stretching the joint too much.Here's how they do it: First, they make a small cut on the outside of the ankle to insert the scope. They look for the ATFL under the skin. Then, they use a knotless anchor to attach the ligament back to the bone. This is like using a tiny, strong hook without tying knots. Despite being simple, this method needs more testing to see if it works well long-term. It's a big step forward in making ankle surgery less harsh on the body.