ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2021
All-inside endoscopic anatomic reconstruction leads to satisfactory functional outcomes in patients with chronic ankle instability.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines.British medical bulletin · 2025Guideline
- Anatomic reconstruction of lateral ankle ligaments: is there an optimal graft option?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Risk factors for recurrence of chronic ankle instability following arthroscopic reconstruction: a meta-analysis.EFORT open reviews · 2026Article
- Preoperative Anxiety Is Associated with Early Postoperative Pain After Arthroscopic Ankle Ligament Reconstruction: A Prospective Cohort Study.Journal of clinical medicine · 2026Article
- A lower talar tunnel placement is associated with postoperative recurrent sprain in CLAI patients following anatomic reconstruction.Journal of experimental orthopaedics · 2026Article
- Evaluation of functional deficits using the Ankle-GO™ score before and after arthroscopic anatomic lateral ankle ligament reconstruction among patients suffering from chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Incidence of Septic Arthritis After Vancomycin Soaking of the Graft During Arthroscopic Anatomic Anterior Talofibular Ligament and Calcaneofibular Ligament Reconstruction.Orthopaedic journal of sports medicine · 2024Article
- Chronic lateral ankle ligament instability - Current evidence and recent management advances.Journal of clinical orthopaedics and trauma · 2024Article
- A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- Anatomic reconstruction using the autologous gracilis tendon achieved less sprain recurrence than the Broström-Gould procedure but delayed recovery in chronic lateral ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The L-shaped tunnel technique showed favourable outcomes similar to those of the Y-graft technique in anatomic lateral ankle ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Searching for an Endoscopic All-Inside Classic Broström-Gould Technique.Arthroscopy techniques · 2022Article
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Authors and funding
5 authors at 4 institutions in 2 countries.
Funding
Abstract
purposeAnkle sprain is a common injury that can be treated conservatively, though many injured patients do not seek treatment or are not adequately managed, both of which can lead to subsequent chronic ankle instability (CAI). The purpose of this study was to evaluate the functional scores and complication rates of an all-inside anatomic reconstruction technique to treat CAI at a minimum follow-up of 24 months.
methodsThe authors retrospectively collected the records of 41 patients that underwent all-inside endoscopic anatomic reconstruction of the ATFL and CFL including demographics, complications, satisfaction, American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson score, and ankle activity score (AAS), at a minimum follow-up of 24 months.
resultsThe study cohort, comprised 34 patients aged 35.6 ± 10.8 years, were assessed at 48.7 ± 19.0 months. AOFAS scores improved from 60.3 ± 11.9 to 94.3 ± 6.2 postoperatively. Karlsson scores improved from 49.0 ± 10.9 to 87.2 ± 10.1 postoperatively. Thirty-three (97%) patients returned to the same AAS (5.6 ± 3.1) and rated their overall satisfaction ≥ 7. One patient (3%) was reoperated to treat a hematoma, while five patients (15%) were reoperated to remove the cortical fixation device that caused discomfort.
conclusionThe novel all-inside endoscopic technique for anatomic reconstruction of the ATFL and CFL grants satisfactory functional outcomes at a minimum of 24 months, and the improvements in AOFAS and Karlsson scores compared favourably to those reported for other techniques in the literature. LEVEL OF EVIDENCE: IV.
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Registered trials
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