Which statement best describes the modification used in the Modified Broström-Gould procedure?

Which statement best describes the modification used in the Modified Broström-Gould procedure?

• A. Reinforcement with the extensor retinaculum
• B. Graft from peroneus brevis
• C. Deltoid ligament repair augmented
• D. Sural nerve grafting

Answer: (A)

The modification centers on reinforcing the repaired lateral ligaments with the extensor retinaculum. In a standard Broström repair, the ATFL is directly repaired to restore stability. The Gould modification adds a flap of the inferior extensor retinaculum to buttress and augment that repair, distributing tension and providing extra restraint against inversion, especially during plantarflexion. This uses native tissue and tends to improve stability without harvesting a tendon graft. The other approaches described—using a graft from the peroneus brevis, augmenting a deltoid ligament repair, or grafting the sural nerve—are not part of this modification and address different structures or goals.

The modification centers on reinforcing the repaired lateral ligaments with the extensor retinaculum. In a standard Broström repair, the ATFL is directly repaired to restore stability. The Gould modification adds a flap of the inferior extensor retinaculum to buttress and augment that repair, distributing tension and providing extra restraint against inversion, especially during plantarflexion. This uses native tissue and tends to improve stability without harvesting a tendon graft. The other approaches described—using a graft from the peroneus brevis, augmenting a deltoid ligament repair, or grafting the sural nerve—are not part of this modification and address different structures or goals.