Evidence map›Paper›PMID 25957613›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2016

Comparison of Broström technique, suture anchor repair, and tape augmentation for reconstruction of the anterior talofibular ligament.

R Schuh, E Benca, M Willegger, L Hirtler, S Zandieh, J Holinka, R Windhager

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
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  4. [Research progress of Internal Brace suture tape augmentation technique in treatment of chronic lateral ankle instability].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Review
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  10. Early Mobility and Rehabilitation Protocol after Internal Brace Ankle Stabilization.International journal of sports physical therapy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

R SchuhDepartment of Orthopaedics, Medical University of Vienna, Waehringer Guertel 18 - 20, 1090, Vienna, Austria. reinhard.schuh@meduniwien.ac.at.
E BencaDepartment of Orthopaedics, Medical University of Vienna, Waehringer Guertel 18 - 20, 1090, Vienna, Austria.
M WilleggerDepartment of Orthopaedics, Medical University of Vienna, Waehringer Guertel 18 - 20, 1090, Vienna, Austria.
L HirtlerCenter of Anatomy and Cellular Biology, Medical University of Vienna, Vienna, Austria.
S ZandiehDepartment of Radiology, Hanusch Hospital, Vienna, Austria.
J HolinkaDepartment of Orthopaedics, Medical University of Vienna, Waehringer Guertel 18 - 20, 1090, Vienna, Austria.
R WindhagerDepartment of Orthopaedics, Medical University of Vienna, Waehringer Guertel 18 - 20, 1090, Vienna, Austria.
Medical University of Vienna · ATHanusch Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecently, tape augmentation for Broström repair has been introduced in order to improve the primary stability of the reconstructed anterior talofibular ligament (ATFL). The biomechanical effect of tape augmentation suture anchor (SA) repair is not known yet. The aim of the present study was to compare construct stability of the traditional Broström (TB) repair compared with a stand alone SA repair (SutureTak, Arthrex) and SA repair combined with tape augmentation (InternalBrace, Arthrex) internal brace (IB) of the ATFL.

methodsEighteen fresh-frozen human anatomic lower leg specimens were randomly assigned to three different groups: TB group, SA group, and IB augmentation group. In vivo torsion conditions in ankle sprain were carried out quasi-statically (0.5°/s). Torque (Nm) required to resist as well as the rotary displacement (°) of the load frame was recorded. Intergroup differences for age, bone mineral density (BMD), angle at failure, and torque at failure were analysed using ANOVA.

resultsIn the TB group, ATFL reconstruction failed at an angle of 24.1°, in the SA group failure occurred at 35.5°, and in the IB group it failed at 46.9° (p = 0.02). Torque at failure reached 5.7 Nm for the TB repair, 8.0 Nm for the SA repair, and 11.2 Nm for the IB group (p = 0.04). There was no correlation between angle at ATFL failure, torque at failure, and BMD for the SA or IB groups.

conclusionThe present biomechanical study reveals statistically superior performance in terms of angle at failure as well as failure torque for the IB group compared to the other reconstruction methods. BMD did not influence the construct stability in the SA repair groups.

Indexed as

Surgical TapeSuture AnchorsAgedAged, 80 and overAnkle JointCadaverFemaleHumansJoint InstabilityLigaments, ArticularMaleMiddle AgedOrthopedic ProceduresRandom AllocationAnkle lateral ligamentBone mineral densityBroströmSuture anchorTape augmentation

Identifiers

PMID25957613
OpenAlexW249750845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.