ArticleJournal of orthopaedic surgery and research2024
Arthroscopically assisted accurate location of the bone tunnel entrance for lateral ankle ligament reconstruction may be a better choice for patients with chronic ankle instability: a retrospective study.
Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Efficacy and safety of lateral ligaments augmentation and modified Brostrom repair in the treatment of chronic lateral instability of the ankle joint: a meta-analysis.Journal of orthopaedic surgery and research · 2026Pooled it
- Stroboscopic visual training combined with balance exercises for chronic ankle instability: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Physical therapy versus conventional treatment for grade I and II acute ankle sprains: trial sequential analysis and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Isokinetic eccentric vs. concentric training for functional ankle instability: a randomized controlled trial.Journal of orthopaedic surgery and research · 2025Trial
- Designing machine learning-based models to predict residual pain after functional treatment of acute lateral ankle ligamentous sprains.Journal of orthopaedic surgery and research · 2026Article
- Chronic anterior talofibular ligament rupture is associated with bilateral knee alterations and reduced ankle plantar flexor moment during gait.Frontiers in sports and active living · 2026Article
- Arthroscopic repair of the anterior talofibular ligament with retrograde drilling and allograft bone grafting for chronic lateral ankle instability with hepple stage V osteochondral lesions of the talus.BMC musculoskeletal disorders · 2025Article
- Two portals are sufficient for all-inside arthroscopic isolate anterior talofibular ligament repair.Archives of orthopaedic and trauma surgery · 2025Article
- Clinical outcomes of arthroscopic all-inside anterior talofibular ligament trans- augmentation repair versus modified trans- augmentation repair for patients with chronic ankle instability.Journal of orthopaedic surgery and research · 2025Article
- Radiography may not be accurate in assessing acute ankle sprains in children.Journal of orthopaedic surgery and research · 2025Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundThe anatomical location for lateral ligament reconstruction remains a significant challenge. With the development of arthroscopic technology, arthroscopic-assisted lateral ligament reconstruction can significantly facilitate the correct localization of anatomical points. However, there is limited evidence on the clinical efficacy of arthroscopic ligament reconstruction compared with percutaneous ligament reconstruction.
methodsThis study included 72 patients who underwent lateral ligament reconstruction for chronic lateral ankle instability from 2018 to 2022. The follow-up duration in the percutaneous(n = 35) and the arthroscopic(n = 37) groups was 6-30 months. The patients were evaluated before the operation, at 6 months after surgery, and at the final follow-up. The American Orthopaedic Foot and Ankle Society score (AOFAS), Karlsson-Peterson score, and Visual Analog Scale (VAS) were evaluated at each time point. The complications and the time required to return to sports were documented during the follow-up.
resultsAll clinical evaluations significantly improved after surgery in both groups. There was no significant difference between the two groups in the AOFAS score, VAS score, and complications. The Karlsson-Peterson score (85.4 vs 83.6, p = 0.044), surgical duration (50.4 min vs 60.2 min, p < 0.001), and time to return to sports (17.8 weeks vs 20.5 weeks, p = 0.033) were all improved in the arthroscopic group.
conclusionSatisfactory clinical outcomes can be achieved through both arthroscopic and percutaneous anatomic ligament reconstruction. The ligament remnant and anatomical localization point can be observed directly by using an arthroscope. Arthroscopic ligament reconstruction can be a more viable alternative for patients with chronic ankle instability due to its minimal disturbance to the stump of the ligament and reduced operative aggression.
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