Evidence map›Paper›PMID 31728603›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020

Endoscopic anatomic ligament reconstruction is a reliable option to treat chronic lateral ankle instability.

Guillaume Cordier, Jordan Ovigue, Miki Dalmau-Pastor, Frederick Michels

Abstract read
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In one paragraph

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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
–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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Anatomic reconstruction of lateral ankle ligaments: is there an optimal graft option?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022
    Pooled it
  3. Trial
  4. Article
  5. Arthroscopic anatomic reconstruction of lateral ankle ligaments using a novel drill-guiding system: Radiographic assessment and two-year clinical outcomes.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
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  11. Review
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  15. Connecting fibers between ATFL's inferior fascicle and CFL transmit tension between both ligaments.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  16. Article
  17. A calcaneal tunnel for CFL reconstruction should be directed to the posterior inferior medial edge of the calcaneal tuberosity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Article
  18. Ankle arthroscopy: the wave that's coming.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020
    Article
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

4 authors.

Guillaume CordierGRECMIP-MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Mérignac, France.
Jordan OvigueOrthopaedic Department, Mérignac Sports Clinic, 2 Rue Georges Negrevergne, 33700, Mérignac, France.
Miki Dalmau-PastorGRECMIP-MIFAS (Groupe de Recherche et d'Etude en Chirurgie Mini-Invasive du Pied-Minimally Invasive Foot and Ankle Society), Mérignac, France.ORCID http://orcid.org/0000-0001-6043-698X
Frederick MichelsOrthopaedic Department, AZ Groeninge, President Kennedylaan 4, 8500, Kortrijk, Belgium. frederick_michels@hotmail.com.ORCID http://orcid.org/0000-0002-5222-0502

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnatomic reconstruction of the anterior talofibular ligament and calcaneofibular ligament is a valid treatment of chronic hindfoot instability. The purpose of this study was to investigate the outcomes of this procedure performed by an all-inside endoscopic technique.

methodsThis study is a retrospective evaluation of a prospective database. Subjects were all patients who underwent an endoscopic lateral ligament reconstruction between 2013 and 2016. All patients had symptoms of ankle instability with positive manual stress testing and failed nonoperative treatment during at least 6 months. At final follow-up the outcome was assessed using the visual analogue score (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score and Karlsson-Peterson scores.

resultsAfter an average follow-up of 31.5 ± 6.9 months, all patients reported significant improvement compared to their preoperative status. The preoperative AOFAS score improved from 76.4 ± 15 to 94.7 ± 11.7 postoperatively (p = 0.0001). The preoperative Karlsson-Peterson score increased from 73.0 ± 16.0 to 93.7 ± 10.6 postoperatively (p = 0.0001). The VAS score improved from 1.9 ± 2.5 to 0.8 ± 1.7 (p < 0.001). Two patients had complaints of recurrent instability.

conclusionEndoscopic ligament reconstruction for chronic lateral ankle instability is a safe procedure and produces good clinical results with minimal complications. In addition, the endoscopic approach allows an assessment of the ankle joint and treatment of associated intra-articular lesions. LEVEL OF EVIDENCE: II.

Indexed as

AdultAnkle InjuriesAnkle JointArthroscopyFemaleHumansJoint InstabilityLateral Ligament, AnkleMaleMiddle AgedRetrospective StudiesSprains and StrainsAnkle instabilityAnkle ligamentAnterior talofibular ligamentArthroscopyAutograftCalcaneofibular ligamentEndoscopic reconstructionLigament reconstruction

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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.