Evidence map›Paper›PMID 29138920›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018

Concurrent arthroscopic osteochondral lesion treatment and lateral ankle ligament repair has no substantial effect on the outcome of chronic lateral ankle instability.

Dong Jiang, Yin-Fang Ao, Chen Jiao, Xing Xie, Lin-Xin Chen, Qin-Wei Guo, Yue-Lin Hu

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Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

21 citing papers in PubMed.

  1. Additional cartilage treatment for small defects in chronic ankle instability shows no mid-term benefit and delays recovery: a randomized controlled trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025
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  14. Knotless anchor repair produced similarly favourable outcomes as knot anchor repair for anterior talofibular ligament repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
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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.

Dong JiangInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China.
Yin-Fang AoInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China.
Chen JiaoInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China.
Xing XieInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China.
Lin-Xin ChenInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China.
Qin-Wei GuoInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China. guoqinwei@sina.com.
Yue-Lin HuInstitute of Sports Medicine of Peking University Third Hospital, No. 49 North Garden Road, Haidian, 100191, Beijing, China. sportshyl@126.com.

Funding

National Natural Science Foundation of China 31670982National Natural Science Foundation of China 81672153National Natural Science Foundation of China Z161100000116072
6 · The paper itself

Abstract

purposeThe purpose of the study was to evaluate the effect of concurrent arthroscopic osteochondral lesion (OCL) treatment and lateral ankle ligament repair on the outcome of chronic lateral ankle instability. It was hypothesized that the arthroscopic OCL treatment might have some negative effect on the outcome of chronic lateral ankle instability (CLAI) by compromising the rehabilitation program.

methodsAnkle arthroscopy and anatomic lateral ankle ligament repair with suture anchors were performed for 70 patients with CLAI between 2010 and 2012. Thirty-four patients (group A), 20 males and 14 females with a median age of 30(14-54) years, received arthroscopic abrasion, curettage, drilling, or microfracture for OCLs. The splint was removed daily for joint motion exercises beginning at post-operative 2 weeks and full weight bearing was allowed between post-operative week 8 and 12. The other 36 patients (group B) with no combined OCL were followed up as controls. Pre-operative and post-operative visual analog scale (VAS) scores, American Orthopaedic Foot and Ankle Society (AOFAS) scores, Tegner scores, sprain recurrence, ankle stability, and range of motion (ROM) were evaluated and compared.

resultsThe median follow-up was 46.5 (38-55) months and 44.5 (38-56) months for group A and group B, respectively. The median post-operative VAS score, AOFAS score, and Tegner score were improved from the pre-operative level for both groups with good-to-excellent results for more than 90% patients. No significant difference was found between the two groups for the subjective scores and satisfaction rate (n.s.). Recurrent sprain was found among nine patients(26.5%) of the group A and five patients (13.9%) of the group B (n.s.). The incidence of the ROM restriction of group A was significantly higher than in group B (23.5 vs 5.6%, P = 0.043).

conclusionsThe concurrent arthroscopic treatment of OCL with lateral ankle ligament repair demonstrated no substantial negative effect on the overall mid-term outcome of the patients with CLAI except for a potential risk of ROM restriction. LEVEL OF EVIDENCE: III.

Indexed as

ArthroscopySuture AnchorsAdolescentAdultAnkleAnkle InjuriesAnkle JointFemaleHumansJoint InstabilityLateral Ligament, AnkleMaleMiddle AgedPostoperative PeriodRange of Motion, ArticularSprains and StrainsAnkleArthroscopyChronic lateral ankle instabilityLateral ankle ligamentMicrofractureOseteochondral lesion

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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.