What is the modification in the Modified Broström-Gould procedure?

What is the modification in the Modified Broström-Gould procedure?

• A. Suture anchors in the fibula
• B. Tendon transfer from peroneus brevis
• C. Use of the extensor retinaculum to reinforce the repair
• D. Graft from fascia lata

Answer: (C)

The modification being tested is augmentation of the repaired ligaments with the extensor retinaculum. In the standard Broström repair, the ATFL and CFL are directly reattached to the fibula to restore native ligament anatomy. The Gould modification adds reinforcement by using a strip of the inferior (extensor) retinaculum to overlay and buttress the repaired ligaments, providing additional stability without requiring a graft or tendon transfer. This biological augmentation helps prevent recurrent laxity and preserves the local tissue planes, which is why the extensor retinaculum reinforcement is the hallmark of the Modified Broström-Gould procedure.