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Meagan's Story

College soccer player Meagan Brown overcame chronic ankle instability through innovative surgical techniques and returned to the field stronger and pain-free for her final season.

This real patient was compensated for the time they took to share their personal experience with the InternalBrace procedure.

This real patient was compensated for the time they took to share their personal experience with the Syndesmosis TightRope® procedure.

Soccer has been Meagan Brown’s sport since she was 7 years old. When it came time for college, the outside midfielder chose Palm Beach Atlantic University.

Recurring Injury and the Search for Answers

“I never had an issue until my freshman year. We were running 300-yard sprints and I turned on the line and my ankle gave out,” she said. “It was sprained.”

Meagan rested, did some physical therapy, and was back out on the field playing again in no time. But during the 2021 fall soccer season, she went for the ball, collided with another player and sprained her ankle again. “I had never felt such pain,” she said.

Meagan again tried conservative options to treat the sprain but didn’t have the success she had the first time. “I would play through the pain, tape it, but it got to the point toward the end of the fall season that I was sitting out more and more,” she said.

 

Innovative Surgical Techniques That Made a Difference

Seeing her daughter’s pain and instability, Meagan’s mother, Lisa, did some research and, using the Find a Doctor feature on AnkleSprain.com, found Christopher W. Hodgkins, MD* (Miami, FL). 

Dr. Hodgkins performed an MRI and saw previously torn ligaments and instability in her syndesmosis, which led him to suggest surgery in spring 2022. “I was apprehensive because surgery is major, but Dr. Hodgkins was confident that the surgery was going to help me come back from this injury and that gave me confidence,” Meagan said.

Using the NanoScope™ system, which is a small, chip-on-tip scope, Dr. Hodgkins looked at Meagan’s ankle to see if the MRI missed any issues. He saw inflammation, cleaned up some of the tissue and then repaired the syndesmosis with the Syndesmosis TightRope® XP implant. Finally, Dr. Hodgkins used the InternalBrace™ technique to stabilize the ligaments in Meagan’s ankle.

“The InternalBrace technique completely changed the way we manage an unstable ankle. It acts like a seatbelt, helping to stabilize the repair during the healing process. It allows people to get up and begin moving quickly, to tolerate weight-bearing activities more quickly,” he said.

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Back on the Field: Meagan’s Road to Recovery

Following the procedure, Meagan was placed in a soft cast and used crutches for six weeks, followed by a hard boot.

“Before this technology, you would have to keep the patient still. They would get stiff, lose power, lose strength. I was an athlete myself—I played soccer and rugby and sprained my ankle many, many times. I struggled with ankle instability, but I didn’t want the downtime and this treatment was not available,” Dr. Hodgkins said.

“I spent so much time with injuries, it’s really why I became an orthopedic surgeon in the first place, but I wanted to do it better. Arthrex allows me to do it better, and these products really do help me to treat my patients better.”

After eight weeks of physical therapy, slowly starting to run, and getting her ankle back in full range of motion, Meagan was finally able to start training with a soccer ball again. “That was the most exciting part of my summer,” she said.

Meagan said her ankle feels great today and she is back to playing at full strength. “I used to be worried about every step I took. I would go into every practice and game worried,” she said. “I never thought I would get to a point where my ankle felt stable. I have been able to go into my last year feeling 100 percent.”

This patient was skeletally mature at the time of surgery. The InternalBrace technique and Syndesmosis TightRope XP implant may not be suitable for patients with insufficient or immature bone. The physician should carefully assess bone quality before performing orthopedic surgery on patients who are skeletally immature. The use of this medical device and the placement of hardware or implants must not bridge, disturb or disrupt the growth plate.

*Physician is a paid consultant of Arthrex, Inc.

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