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operation ( 0.05). MSOA score increased from 3.74±2.54 before operation to 7.04±2.51 at 24 months after opertaion ( 0.05). Treatment of chronic lateral ankle instability with reconstruction of lateral ligament complex with single-tunnel pullout structure fixation could provide better tendon and bone healing conditions, improve surgical safety and could achieve satisfactory clinical outcomes. Treatment of chronic lateral ankle instability with reconstruction of lateral ligament complex with single-tunnel pullout structure fixation