Trial reportKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Anterior talofibular ligament (ATFL) repair using two suture anchors produced better functional outcomes than using one suture anchor for the treatment of chronic lateral ankle instability.
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 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines.British medical bulletin · 2025Guideline
- [Surgical management and clinical outcomes of repair for anterior talofibular ligament injury at talar attachment].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Predictor of clinical and functional outcomes in ankle arthroscopic ligament repair with 'all-inside' technique.Journal of experimental orthopaedics · 2025Article
- Arthroscopic Repair of Anterior Talofibular Ligament After Distal Fibular Nonunion Excision Using a 2-Portal, No-Ankle-Distraction Technique.Arthroscopy techniques · 2025Article
- Comparative Evaluation of Metallic and Biodegradable Suture Anchors in Arthroscopic Repair of Anterior Talofibular Ligament Injury: A Short-term Study on Clinical and Functional Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Are Prospective Criteria or Objective Clinical Measures Utilized in Return to Play (RTP) Decision Making After Ankle Surgery? A Scoping Review.Foot & ankle orthopaedics · 2023Article
- Ankle Sprains in Athletes: Current Epidemiological, Clinical and Imaging Trends.Open access journal of sports medicine · 2023Review
- Functional outcomes of all-inside arthroscopic anterior talofibular ligament repair with loop suture versus free-edge suture.Journal of orthopaedic surgery and research · 2022Article
- Functional results of modified Mason-Allen suture versus horizontal mattress suture in the arthroscopic Broström-Gould procedure for chronic ankle instability.Journal of orthopaedic surgery and research · 2022Article
- Percutaneous Inferior Extensor Retinaculum Augmentation Technique for Chronic Ankle Instability.Orthopaedic surgery · 2022Article
- Single Knotless Suture Anchor Repair of Anterior Talofibular Ligament Following Distal Fibula Nonunion Excision.Arthroscopy techniques · 2022Article
- Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors.Orthopaedic journal of sports medicine · 2021Article
- All-inside endoscopic anatomic reconstruction leads to satisfactory functional outcomes in patients with chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Safety and Performance of Titanium Suture Anchors Used in Knee Ligament Repair Procedures.Medicina (Kaunas, Lithuania) · 2021Article
- Modified arthroscopic Broström procedure using a soft anchor for chronic lateral ankle instability: Short-term follow-up results.Joint diseases and related surgery · 2021Article
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4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare the function and activity level after one-anchor repair versus two-anchor repair of the anterior talofibular ligament (ATFL) in patients with chronic lateral ankle instability.
methodsAll patients who underwent arthroscopic surgical ATFL repair using suture anchors were included in this study. The American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (Karlsson score) and Tegner activity score were used to evaluate ankle function at a follow-up of a minimum of 2 years. A magnetic resonance imaging (MRI) scan was performed to evaluate the repaired ATFL.
resultsA total of 51 patients with chronic ankle instability were included in this study. Among them, 20 patients accepted a one-anchor repair procedure (one-anchor group), and the other 31 patients accepted a two-anchor repair procedure (two-anchor group). At the final follow-up, there was no significant difference in the AOFAS score between the one-anchor group and the two-anchor group (90 ± 9 vs 91 ± 10; ns). However, the mean Karlsson score of the two-anchor group (88 ± 12) was significantly higher than that of the one-anchor group (80 ± 14) (p = 0.04). There was a significant difference in activity level as measured by the Tegner activity score (5 ± 1 vs 4 ± 1; p < 0.001) between the two-anchor group and the one-anchor group after surgery. Patients in the two-anchor group (68%) had a significantly higher percentage of sport participation compared to those in the one-anchor group (30%) (p = 0.01).
conclusionCompared with a one-anchor repair, a two-anchor repair of the lateral ankle ligament produced better functional outcomes. Arthroscopic ATFL repair with two anchors provided a minimally invasive technique with a higher rate of return to sports than repair with one anchor. The present study showed its clinical relevance by maintaining the advantage of ATFL repair using two anchors regarding the clinical function. LEVEL OF EVIDENCE: III.
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