Evidence map›Paper›PMID 28842780›Full record

ArticleInternational orthopaedics2017

Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

Ibukunoluwa Araoye, Cesar De Cesar Netto, Brent Cone, Parke Hudson, Bahman Sahranavard, Ashish Shah

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Article in International orthopaedics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

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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

6 citing papers in PubMed.

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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

6 authors.

Ibukunoluwa AraoyeUniversity of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA.
Cesar De Cesar NettoUniversity of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA.
Brent ConeUniversity of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA.
Parke HudsonUniversity of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA.
Bahman SahranavardUniversity of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA.
Ashish ShahUniversity of Alabama at Birmingham, 1313 13th Street South, Suite 226A, Birmingham, AL, 35205, USA. ashishshah@uabmc.edu.ORCID 0000-0001-5806-9498

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnkle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surgery.

methodsWe retrospectively reviewed 119 cases (118 patients) of lateral ankle ligament surgery between 2006 and 2016. Patient charts and operative reports were examined for demographics, use and timing of ankle arthroscopy, ligament fixation method, type of surgical incision, presence of calcaneofibular ligament repair, and operative technique. Impact of operative methods on failure (one-year minimum follow-up) and complication outcomes was explored using Chi-square test of independence (or Fisher's exact test). Statistical significance was set at p less than .05.

resultsMean age at surgery was 40 (range, 18-73) years. Mean follow-up was 51 (range, 12-260) weeks. Failure rate was 8.4% (10/89 cases) while complication rate was 17.6% (21/119). Failure rate did not differ significantly between any data subgroups (p > .05). Single stage arthroscopy was associated with a significantly lower complication rate (11%, 4/37) than double-stage arthroscopy (47%, 9/19) (p < .01) as was suture anchor ligament fixation (9%, 6/67) compared to direct suture ligament fixation (29%, 15/52) (p < .01).

conclusionFailure rate was not impacted by any of the studied variables. Use of suture anchors and concurrent ankle arthroscopy may be favourable options to achieve fewer complications in chronic lateral ankle instability repair surgery.

Indexed as

AdolescentAdultAgedAnkle InjuriesAnkle JointArthroscopyFemaleFollow-Up StudiesHumansJoint InstabilityLateral Ligament, AnkleMaleMiddle AgedPlastic Surgery ProceduresPostoperative ComplicationsRetrospective StudiesAnkle instabilityAnkle sprainArthroscopyBroström-GouldClinical outcomeSuture anchors

Identifiers

PMID28842780

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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.