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ArticleInternational orthopaedics2020

A modified all-inside arthroscopic remnant-preserving technique of lateral ankle ligament reconstruction: medium-term clinical and radiologic results comparable with open reconstruction.

Kaibin Zhang, Abdul Aleem Khan, Hanhao Dai, Yang Li, Tianqi Tao, Yiqiu Jiang, Jianchao Gui

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Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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8citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kaibin ZhangDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Abdul Aleem KhanDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Hanhao DaiDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Yang LiDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Tianqi TaoDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China.
Yiqiu JiangDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China. 1047322605@qq.com.
Jianchao GuiDepartment of Orthopaedics, Nanjing First Hospital, Nanjing Medical University, ChangLe Road 68, Nanjing, 210000, Jiangsu Province, People's Republic of China. gui1997@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to compare clinical and radiologic outcomes of a modified all-inside arthroscopic remnant-preserving technique of lateral ankle ligament reconstruction with traditional open reconstruction.

methodsFrom January 2012 and March 2016, 60 eligible patients with chronic lateral ankle instability (CLAI) received all arthroscopic remnant-preserving reconstruction or open reconstruction of the anterior talofibular ligament and calcaneofibular ligament using semitendinosus autograft. They were divided into the arthroscopic group (n = 28) and the open group (n = 32). The American Orthopaedic Foot and Ankle Society (AOFAS),visual analog scale (VAS), and Karlsson scores and ankle range of motion (ROM) were used to evaluate clinical outcomes pre-operatively and at six and 12 months and the final follow-up of at least 24 months post-operatively, with SF-36 physical component summary (PCS) and mental component summary (MCS) scores evaluated for quality of life, and the anterior talar translation and talar tilt measurements for radiologic outcomes.

resultsThere was no difference in pre-operative demographics between two groups (P > 0.05). At the final follow-up, the AOFAS, VAS, Karlsson, SF-36 PCS, and MCS scores improved significantly in both groups (P < 0.05). However, no significant difference was found in AOFAS (91.9 ± 6.8 vs 91.1 ± 5.5), VAS (2.7 ± 1.7 vs 2.5 ± 1.6), Karlsson (95.3 ± 6.7 vs 94.8 ± 6.5), SF-36 PCS (53.2 ± 6.1 vs 52.9 ± 5.7), and MCS scores (55.7 ± 5.8 vs 54.2 ± 5.4) between the two groups (P > 0.05). There was no significant difference in post-operative operated/non-operated ankle ROM between two groups (P > 0.05). No significant difference was observed in talar tilt angle (7.6 ± 4.1° vs 6.8 ± 3.6°) and anterior talar translation (5.8 ± 1.7 mm vs 5.7 ± 1.5 mm) between the two groups at the final follow-up (P > 0.05), although these two variables improved significantly in both groups (P < 0.05). No severe complications were encountered in both groups during the follow-up period.

conclusionsThe modified all-inside arthroscopic remnant-preserving technique of lateral ankle ligament reconstruction could produce excellent clinical and radiologic outcomes comparable with open reconstruction.

Indexed as

Joint InstabilityLateral Ligament, AnkleAnkleAnkle JointArthroscopyHumansQuality of LifeRetrospective StudiesAnkle injuriesAnkle lateral ligamentsArthroscopyJoint instabilityReconstructive surgical procedures

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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.