Evidence map›Paper›PMID 35022814›Full record

ArticleInternational orthopaedics2022

All-inside arthroscopic repair of the anterior talofibular ligament: a case series.

Gustavo Araujo Nunes, Gabriel Ferraz Ferreira, Rafael Medeiros Caetano, Tania Szejnfeld Mann, Matteo Guelfi

Abstract read
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In one paragraph

Article in International orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Guideline
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  5. Article
  6. Avulsion fracture is associated with more pain after anatomic repair procedure for ATFL injury at the talar side.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  7. The ATFL inferior fascicle, the CFL and the PTFL have a continuous footprint at the medial side of the fibula.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  8. 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 · 2023
    Article
  9. 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

5 authors at 3 institutions in 2 countries.

Gustavo Araujo NunesFoot and Ankle Unit, Hospital Brasília, Brasília, Distrito Federal, Brazil. gustavoanunes@hotmail.com.ORCID http://orcid.org/0000-0003-4431-5576
Gabriel Ferraz FerreiraFoot and Ankle Surgery Group, Orthopaedics and Traumatology Unit, Prevent Senior, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-8032-3077
Rafael Medeiros CaetanoOrthopaedics and Traumatology Unit, Hospital Universitário Ciências Médicas (FCMMG), Belo Horizonte, MG, Brazil.ORCID http://orcid.org/0000-0002-1007-3532
Tania Szejnfeld MannEscola Paulista de Medicina - UNIFESP, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-4168-0981
Matteo GuelfiFoot and Ankle Unit, Clinica Montallegro, Genoa, Italy.ORCID http://orcid.org/0000-0003-0671-4648
Faculdade de Ciências Médicas de Minas Gerais · BRHospital de Base · BRUniversidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe all-inside arthroscopic repair of the anterior talofibular ligament (ATFL) is a technically challenging and still-recent procedure to treat chronic ankle instability (CAI). Favourable clinical outcomes have been shown from originator centers, but this is one of the first series from a non-originator centre. The purpose of the present study is to present the clinical and functional results of patients with CAI underwent arthroscopic all-inside ATFL repair.

methodsThis is a series of cases of 18 consecutive patients who underwent the all-inside arthroscopic ATFL repair, for CAI, after the failure of conservative treatment performed for six months. The evaluation was made using the American Orthopaedic Foot and Ankle Score (AOFAS), visual analog pain scale (VAS), anterior drawer, and talar tilt tests.

resultsAll 18 patients were evaluated for a mean follow-up period of 12 months. There was an improvement in the AOFAS (p < 0.001), with the mean improving from 69.6 points to 98.1, standard deviation (SD) = 11.09, and in the mean VAS score (p < 0.001), from 5.0 to 0.5 points (SD = 0.78). All ankles were stable, as assessed by the anterior drawer test and talar tilt test. The only complication found was neurapraxia of the superficial fibular nerve in one patient (5%). All of the patients classified the treatment as good or excellent and returned to sports activities without limitations.

conclusionTreatment of CAI by the all-inside arthroscopic ATFL repair was able to restore ankle stability and showed good clinical results and high satisfaction rates.

Indexed as

Joint InstabilityLateral Ligament, AnkleAnkleAnkle JointArthroscopyHumansRetrospective StudiesAnkleArthroscopyChronic ankle instabilityJoint instability

Identifiers

PMID35022814
OpenAlexW4205648221

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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.