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demonstrating a ligament augmentation repair in the ankle with the use of a surgical device the ligament augmentation repair helps to repair the torn ligament in the ankle called anterior telofibular ligament atfl it is the ligament that holds the two bones of the ankle together the fibula and the talus this ligament prevents rolling or spraining of the ankle first the surgeon makes a cut and separates the atfl away from the fibula then drills and makes two holes in the fibula and inserts sutures to prepare the bone for the surgical device next the surgeon drills in the talus and inserts a screw with sutures into the bone then passes the two sutures on the fibula through the atfl which holds them in place and ties them in a knot to the fibula the surgeon then drills another hole in the tip of the fibula next the surgeon pulls the suture from the talus and inserts it into the hole created in the fibula the surgeon marks where the suture is tightened and then inserts the screw with the s