Evidence map›Paper›PMID 37713126›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2023

High body mass index is not a contraindication for an arthroscopic ligament repair with biological augmentation in case of chronic ankle instability.

Kevin Guiraud, Gustavo Araujo Nunes, Jordi Vega, Guillaume Cordier

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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
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

4 authors at 1 institution in 2 countries.

Kevin GuiraudPôle de Santé du Villeneuvois, Villeneuve-sur-Lot, France. kevinjm.guiraud@gmail.com.ORCID http://orcid.org/0000-0002-2289-9382
Gustavo Araujo NunesCOTE Brasília Clinic, Brasília, Distrito Federal, Brazil.ORCID http://orcid.org/0000-0003-4431-5576
Jordi VegaLaboratory of Arthroscopic and Surgical Anatomy. Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0003-2762-8845
Guillaume CordierChirurgie du Sport - Clinique du Sport - Vivalto Santé, Bordeaux-Merignac, France.ORCID http://orcid.org/0000-0002-7035-3931
Clinique du Sport · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeObesity remains frequently mentioned as a contraindication for lateral ankle ligament repair. The aim of the study was to compare the clinical results of an arthroscopic lateral ligament repair with biological augmentation between patients with a body mass index (BMI) of more than 30 and less than 30.

methodsSixty-nine patients with an isolated lateral ankle instability were treated with an arthroscopic anterior talofibular ligament (ATFL) repair with biological augmentation using the inferior extensor retinaculum (IER). Patients were divided into two groups according to their BMI: ≥ 30 (Group A; n = 26) and < 30 (Group B; n = 43). Patients were pre-and post-operatively evaluated, with a minimum of 2 years follow-up, and using the Karlsson Score. Characteristics of the patients, complications, ankle instability symptoms recurrence, and satisfaction score were recorded.

resultsIn group A, the median Karlsson Score increased from 43.5 (Range 22-72) to 85 (Range 37-100) at follow-up. Complications were observed in seven patients (27%). Nineteen patients (73%) reported that they were "very satisfied". One patient (4%) described persistent ankle instability symptoms. In group B, the median Karlsson Score increased from 65 (Range 42-80) to 95 (Range 50-100) at follow-up. Complications were observed in four patients (9%). Thirty-three patients (77%) reported that they were "very satisfied". Two patients (5%) described persistent ankle instability symptoms. Pre-operative and at last follow-up Karlsson Score, results were significantly different between the two groups. There was no significant statistical difference in favour of satisfaction score, complications and recurrence of ankle instability between the two groups.

conclusionATFL repair with biological augmentation using IER gives excellent results for patients with BMI ≥ 30. Compared to patients with BMI < 30, they present a slightly lower preoperative and postoperative Karlsson score, however, with a similar satisfaction rate, but are at higher risk of transient superficial peroneal nerve dysesthesia. LEVEL OF EVIDENCE: Level III.

Indexed as

Ankle JointArthroscopyBody Mass IndexJoint InstabilityLateral Ligament, AnkleObesityAdolescentAdultChronic DiseaseContraindications, ProcedureFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient SatisfactionAnkle arthroscopyAnterior talofibular ligamentBiological augmentationBody mass indexBroströmChronic ankle instabilityGouldInferior retinaculum extensorLateral ankle ligament repairObesity

Identifiers

PMID37713126
OpenAlexW4386757257

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.