SynthesisJournal of orthopaedic surgery and research2020
Does arthroscopic repair show superiority over open repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review and meta-analysis.
Synthesis in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Uncertainty and risk of misleading conclusions: an umbrella review of the quality of the evidence for ankle arthroscopy.Acta orthopaedica · 2025Pooled it
- Comparative analyses of arthroscopic and open repairs of lateral ligament complex injuries of the ankle: a systematic review and meta-analysis of the medium-term outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Pooled it
- Article
- 2025 Chinese clinical practice consensus and guideline on chronic lateral ankle instability.International journal of surgery (London, England) · 2026Article
- No Difference Between Open and Arthroscopic ATFL Repair, Both Yielding Clinically Significant Improvement in Chronic Ankle Instability: A Randomized Controlled Trial.Orthopaedic journal of sports medicine · 2026Article
- Association Between Physical Activity Levels and Sleep Quality Among Saudi Board Trainees: A Cross-Sectional Study.Cureus · 2026Article
- Outcomes of Open Versus Arthroscopic Anterior Talofibular Ligament Repair: An Updated Systematic Review and Meta-analysis.Indian journal of orthopaedics · 2026Review
- Multiligament ankle instability: Case report and therapeutic perspectives.Trauma case reports · 2025Article
- Comparative effectiveness of combined ATFL and CFL repair versus ATFL-only repair for severe chronic lateral ankle instability.Journal of experimental orthopaedics · 2025Article
- Letter to the Editor: Regional variation in low-value musculoskeletal surgery: a nationwide study from the Finnish Care Register.Acta orthopaedica · 2024Article
- Clinical Outcomes of a Minimally Invasive Percutaneous Brostrom Technique without Arthroscopic Assistance.Diagnostics (Basel, Switzerland) · 2024Article
- Quantitative assessment of anterior talofibular ligament quality in chronic lateral ankle instability using magnetic resonance imaging T2* value.Skeletal radiology · 2024Article
- Clinical outcomes of arthroscopic lateral ligament repair using a knotless anchor for chronic lateral ankle instability.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2024Article
- Postural stability after operative reconstruction of the AFTL in chronic ankle instability comparing three different surgical techniques.Open medicine (Warsaw, Poland) · 2024Article
- Comparison of Knot-Tying Techniques During the Arthroscopic Broström-Gould Procedure: Semiconstrained Freehand Versus Knot Pusher Techniques.Orthopaedic journal of sports medicine · 2024Article
- High body mass index is not a contraindication for an arthroscopic ligament repair with biological augmentation in case of chronic ankle instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- One double-loaded suture anchor is sufficient for all-inside arthroscopic anterior talofibular ligament repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Absorbable suture anchor and knotless anchor techniques produced similar outcomes in arthroscopic anterior talofibular ligament repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Limited medial osteochondral lesions of the talus associated with chronic ankle instability do not impact the results of endoscopic modified Broström ligament repair.Journal of orthopaedic surgery and research · 2022Article
- All-inside arthroscopic repair of the anterior talofibular ligament: a case series.International orthopaedics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThere is still no definite consensus on whether arthroscopic repair shows superiority over open repair for chronic lateral ankle instability. We conducted a systematic review and meta-analysis of the current comparative studies to make a generalized analysis.
methodsPubMed, Embase, and Web of Science databases were searched from inception to April 2020. Included studies were assessed by the level of evidence and quality of evidence (Cochrane Handbook or MINORS). The process of data extraction was conducted by two independent authors. The comparative results of clinical outcomes, stress radiographic outcomes, and complication rates between two groups were pooled. Statistical analysis was performed using STATA.
resultsNine comparative studies for a total of 473 patients (250 arthroscopic repair, 223 open repair) were included. For the clinical outcomes, a significant difference was found in favor of arthroscopic repair with regard to AOFAS scores (MD 0.32, 95% CI 0.12 to 0.53, I
conclusionsArthroscopic repair for lateral ankle instability shows excellent clinical results comparable to open repair. Especially, arthroscopic repair might alleviate more pain due to the minimally invasive procedure. Patients receiving arthroscopic repair do not result in a higher total complication rate and nerve injury rate.
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What OpenQuestion holds
Registered trials
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.