ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023
Deltoid ligament (DL) repair produced better results than DL nonrepair for the treatment for rotational ankle instability.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Arthroscopic Management of Medial or Rotational Ankle Instability: A Comprehensive Review of Current Evidence.Healthcare (Basel, Switzerland) · 2025Review
- Good rate of satisfaction but suboptimal clinical outcome at long-term follow-up in a large series of patients who had operative stabilization of the deltoid ligament of the ankle.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Medial sleeve fractures in elite-athletes: A heterogeneous group, anatomical and case-based considerations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2024Article
- The evaluation of rotational lateral ankle laxity in gravity stress position by ultrasonography: normative value in uninjured ankles.BMC musculoskeletal disorders · 2024Article
- Investigation into the effect of deltoid ligament injury on rotational ankle instability using a three-dimensional ankle finite element model.Frontiers in bioengineering and biotechnology · 2024Article
- Repair of deep deltoid ligament ruptures near the medial malleolar attachment or midsubstance rupture by using suture anchors into the talus combined with the transosseous suture in the medial malleolar.Frontiers in surgery · 2023Article
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5 authors.
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Abstract
purposeTo compare the clinical and magnetic resonance imaging (MRI) results after arthroscopic deltoid ligament (DL) repair versus DL nonrepair in patients with rotational ankle instability.
methodsAll patients with rotational ankle instability were enrolled in this retrospective cohort study. Clinical evaluation was performed by the American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), and Tegner activity score preoperatively and at a minimum follow-up of 2 years. MRI at follow-up was performed to evaluate the DL morphology.
resultsA total of 50 patients were enrolled in this study. Among them, 24 patients received DL repair (the repair group), whereas 26 patients did not (the nonrepair group). No significant difference was found in the AOFAS score (98 ± 4 vs. 97 ± 4; n.s.), KAFS (94 ± 7 vs. 93 ± 9; n.s.), or Tegner activity score (5 ± 2 vs. 5 ± 1; n.s.) between the repair group and the nonrepair group at the final follow-up. However, the repair group had a significantly shorter return-to-sport time than the nonrepair group (4.6 ± 1.6 mo vs. 6.0 ± 2.5 mo; p = 0.03). Comparison of the postoperative deltoid ligament showed that the repair group had a lower signal intensity than the nonrepair group.
conclusionArthroscopic treatment of rotational ankle instability revealed good to excellent clinical results. However, patients who underwent DL repair had a significantly earlier return to sports as well as a lower signal intensity of DL than those who did not undergo DL repair. LEVEL OF EVIDENCE: Level III.
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