Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Repair of only anterior talofibular ligament resulted in similar outcomes to those of repair of both anterior talofibular and calcaneofibular ligaments.
Trial report in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- One in Three Patients With Chronic Lateral Ankle Instability Has a Cartilage Lesion.The American journal of sports medicine · 2023Pooled it
- Evaluation modalities for the anatomical repair of chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Pooled it
- No Difference Between Open and Arthroscopic ATFL Repair, Both Yielding Clinically Significant Improvement in Chronic Ankle Instability: A Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2026Article
- Current concepts in arthroscopic treatment for chronic lateral ankle instability: a clinical practice review.Annals of joint · 2026Review
- Morphological Characteristics of Lateral Ankle Ligament Injuries Associated With Recurrent Instability After Arthroscopic Repair for Chronic Ankle Instability: 3D Volume Rendering MRI Model Analysis.Orthopaedic journal of sports medicine · 2025Article
- Comparative effectiveness of combined ATFL and CFL repair versus ATFL-only repair for severe chronic lateral ankle instability.Journal of experimental orthopaedics · 2025Article
- All-inside arthroscopic repair of ATFL and CFL separately for chronic lateral ankle instability in conjunction with subtalar instability.Journal of orthopaedic surgery and research · 2025Article
- Recent advances in the management of chronic ankle instability.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Review
- The Effect of Repairing the Integrity of the Calcaneofibular Ligament During Calcaneal Fracture Surgery on Postoperative Ankle Joint Function.Therapeutics and clinical risk management · 2025Article
- Comparison of Inferior Extensor Retinacular Reinforcement Versus Nonreinforcement in Arthroscopic Isolated Anterior Talofibular Ligament Repair for Chronic Lateral Ankle Instability: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2024Article
- [Injuries of the ankle ligaments].Orthopadie (Heidelberg, Germany) · 2024Article
- Biomechanical improvement of anterior talofibular ligament by augmentation repair of ligament advance reinforcement system: a cadaver study.BMC surgery · 2023Article
- Mid-term follow-up evaluation of a new arthroscopic Broström procedure for chronic lateral ankle instability.Journal of orthopaedic surgery and research · 2023Article
- Clinical significance of the anteromedial talus osteophyte in anteromedial ankle impingement in chronic lateral ankle instability.Journal of orthopaedic surgery and research · 2023Article
- Platelet-rich plasma, a biomaterial, for the treatment of anterior talofibular ligament in lateral ankle sprain.Frontiers in bioengineering and biotechnology · 2022Article
- Connecting fibers between ATFL's inferior fascicle and CFL transmit tension between both ligaments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Current Concepts on Subtalar Instability.Orthopaedic journal of sports medicine · 2021Review
- Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors.Orthopaedic journal of sports medicine · 2021Article
- Arthroscopic all-inside ATFL and CFL repair is feasible and provides excellent results in patients with chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- The arthroscopic all-inside ankle lateral collateral ligament repair is a safe and reproducible technique.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the surgical outcomes of the two different ankle stabilization techniques.
methodsThis randomized controlled trial aimed to compare the outcomes of the modified Broström procedure with [calcaneofibular ligament (CFL) group] or without CFL repair [anterior talofibular ligament (ATFL) only group]. Of the 50 patients randomly assigned to two groups, 43 were followed up prospectively for ≥ 2 years (CFL group: 22 patients, 36.6 ± 13.1 months; ATFL Only group: 21 patients, 35.3 ± 11.9 months). Functional outcomes were assessed using the Karlsson-Peterson and Tegner activity level scoring systems. Anterior talar translation (ATT), talar tilt angle (TTA), and degrees of displacement of the calcaneus against the talus on stress radiographs were measured. All parameters were compared between the two groups. Multiple regression analysis setting the postoperative Karlsson-Peterson score as the dependent variable was performed to determine the significant variable.
resultsThere were no significant differences between the two groups in functional (Karlsson-Peterson and Tegner activity level) scores at the last follow-up and their changes. There were no significant differences between the two groups in the ATT, TTA, their differences compared with the contralateral ankles, and degrees of displacement of the calcaneus against the talus at the last follow-up. Osteochondral lesion of the talus rather than CFL repair was the significant variable related to functional outcome.
conclusionThe modified Broström procedure with additional CFL repair did not result in a significant advantage in any measured outcome at 3 years. LEVEL OF EVIDENCE: Randomized controlled trial, Level I.
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Registered trials
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.