ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Arthroscopic all-inside ATiFL's distal fascicle transfer for ATFL's superior fascicle reconstruction or biological augmentation of lateral ligament repair.
Article 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 14 papers.
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14 citing papers in PubMed, 17 citations in OpenAlex.
- Suture tape augmentation in arthroscopic lateral ligament repair for chronic ankle instability yields similar clinical outcomes but faster return to sport compared to isolated repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- [Research progress on augmentation repair of anterior talofibular ligament under arthroscopy].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Review
- Economic burden of sports injury in China: result from a single center of medical quality and safety monitor system.Cost effectiveness and resource allocation : C/E · 2025Article
- Anatomical analysis of the lateral ligament complex in the neutral position and during plantar flexion.BMC musculoskeletal disorders · 2025Article
- Characteristics and Outcomes of Surgical Treatment for Anterolateral Ankle Impingement Due to the Distal Fascicle of the Anterior Inferior Tibiofibular Ligament.Orthopaedic journal of sports medicine · 2024Article
- Current concepts in ankle microinstability and ankle functional instability.Journal of clinical orthopaedics and trauma · 2024Article
- Chronic lateral ankle instability using anterior tibiofibular ligament distal fascicle transfer augmentation repair: an anatomical, biomechanical, and histological study.Frontiers in bioengineering and biotechnology · 2024Article
- Clinical outcomes of anterior tibiofibular ligament's distal fascicle transfer versus ligament reconstruction with InternalBrace™ for chronic ankle instability patients.Archives of orthopaedic and trauma surgery · 2022Article
- Biomechanical Study of Arthroscopic All-Inside Anterior Talofibular Ligament Suture Augmentation Repair, Plus Suture Augmentation Repair and Anterior Tibiofibular Ligament's Distal Fascicle Transfer Augmentation Repair.Journal of clinical medicine · 2022Article
- The signal intensity of preoperative magnetic resonance imaging has predictive value for determining the arthroscopic reparability of the anterior talofibular ligament.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Ankle microinstability: arthroscopic findings reveal four types of lesion to the anterior talofibular ligament's superior fascicle.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- The lateral ankle ligaments are interconnected: the medial connecting fibres between the anterior talofibular, calcaneofibular and posterior talofibular ligaments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- 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
- Ankle arthroscopy: the wave that's coming.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTendon grafts are often utilized for reconstruction of the lateral ligaments unamenable to primary repair. However, tendon and ligaments have different biological roles. The anterior tibiofibular ligament's (ATiFL) distal fascicle may be resected without compromising the stability of the ankle joint. The aim of this study is to describe an all-arthroscopic and intra-articular surgical technique of ATiFL's distal fascicle transfer for the treatment of chronic ankle instability.
methodsFive unpaired cadaver ankles underwent arthroscopic ATiFL's distal fascicle transfer using a non-absorbable suture and a knotless anchor. Injured or absent ATiFL's distal fascicle were excluded from the study. Following arthroscopy, the ankles were dissected and evaluated for entrapment of nearby adjacent anatomical structures. The ligament transfer was also assessed. The distance between the anterolateral (AL) portals and the superficial peroneal nerve (SPN) was measured and the shortest distance was reported.
resultsAll specimens revealed successful transfer of the tibial origin of the ATiFL's distal fascicle onto the talar insertion of anterior talofibular ligament's (ATFL) superior fascicle. The fibular origin of the ATiFL's distal fascicle remained intact. There were no specimens with SPN or extensor tendon entrapment. The median distance between the proximal AL portal and SPN was 3.8 mm. The median distance between the distal AL portal and SPN was 3.9 mm.
conclusionAn all-arthroscopic approach to an ATiFL's distal fascicle transfer is a reliable method to reconstruct the ATFL's superior fascicle. Transfer of ATiFL's distal fascicle avoids the need for tendon harvest or allograft. The lack of injury to nearby adjacent structures suggests that it is a safe procedure. The clinical relevance of the study is that ATiFL's distal fascicle can be arthroscopically transferred to be used as a biological reinforcement of the ATFL repair, or as an ATFL reconstruction.
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