Review Question - QID 218713

A 15-year-old high school baseball player presents with ankle pain that has been getting worse over the last six months. He denies any specific traumatic onset but notes that he is an outfielder and has sustained multiple ankle sprains over the years while running to catch fly balls. On clinical exam, he has a slight effusion and minimal reproduction of his pain with deep palpation over the medial gutter, but has > 15 degrees of ankle inversion on talar tilt testing and a positive anterior drawer. An MRI obtained prior to his consultation is shown in Figures A and B. If his treating surgeon is planning on performing an ankle arthroscopy with debridement and marrow stimulation of his 7 mm symptomatic lesion, which of the following procedures should be performed concomitantly to reduce the chance of clinical failure post-operatively?