Evidence map›Paper›PMID 40183802›Full record

GuidelineBritish medical bulletin2025

All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines.

Shi-Ming Feng, Nicola Maffulli, C Niek van Dijk, Hai-Lin Xu, Kai Fehske, Christian Plaass, Francesco Oliva, Thomas Karius, Shun-Hong Gao, Wei Xu and 17 more

Abstract readPractice Guideline
In one paragraph

Guideline in British medical bulletin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

27 authors.

Shi-Ming FengSports Medicine Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, NO.199 Jiefang South Road, Quanshan district, Xuzhou 221009, PR China.ORCID 0000-0002-0815-2426
Nicola MaffulliDepartment of Orthopaedics and Traumatology, University La Sapienza, Faculty of Medicine and Psychology, Via di Grottarossa, 00189, Rome, Italy.ORCID 0000-0002-5327-3702
C Niek van DijkDepartment of Orthopedic Surgery, University of Amsterdam, Meibergdreef 9, Amsterdam, 1081 HV, The Netherlands.
Hai-Lin XuDepartment of Trauma and Orthopedic, People's Hospital, Peking University, No. 11 Xizhimen South Street, Xicheng District, Beijing 100044, PR China.
Kai FehskeDepartment of Trauma Surgery, University Hospital Wuerzburg, Josef-Schneider-Straße 2, Wuerzburg 97080, Germany.
Christian PlaassDepartment for Foot and Ankle surgery, DIAKOVERE Annastift, Orthopedic Clinic of the Hannover Medical School, Anna-von-Borries Strasse 1-7, Hannover 30625, Germany.ORCID 0000-0003-0568-2074
Francesco OlivaDepartment of Sports Traumatology, Universita' Telematica San Raffaele, Via di Val Cannuta, 247 Roma, Italy.
Thomas KariusDepartment of Orthopedic and Trauma Surgery, Johanniter Waldkrankenhaus Bonn, Waldstraße 73, Bonn 53177, Germany.
Shun-Hong GaoOrthopaedic Department, The Second Hospital of Tangshan, No. 21, North Jianshe Road, Lubei District, Tangshan 063000, PR China.
Wei XuDepartment of Orthopaedics, The Second Affiliated Hospital of Soochow University, No. 1055, Sanxiang Road, Gusu District, Suzhou 215004, PR China.
Lu BaiDepartment of Orthopaedics, Peking University Shenzhen Hospital, No. 1120, Lianhua Road, Futian District, Shenzhen 518035, PR China.
Run-Lai SongOrthopedic Medical Center, Yibin Second People's Hospital, No. 96 Beida Street, Cuiping District, YiBin 644000, China.
Yue-Feng HaoOrthopedics and Sports Medicine Center, Suzhou Municipal Hospital, Nanjing Medical University Affiliated Suzhou Hospital, No. 242, Guangji Road, Gusu District, Suzhou 215008, PR China.
Hui ZhangDepartment of Orthopedics and Orthopedic Research Institute, West China Hospital, Sichuan University, No. 37, Guoxue Lane, Wuhou District, Chengdu 610041, China.
Yang-Bo XuDepartment of Bone and Joint Surgery, Affiliated Hospital of Southwest Medical University, No. 8, Section 2, Kangcheng Road, Jiangyang District, Luzhou 646099, PR China.
Ning ZhangDepartment of Foot and Ankle Surgery, The Second Hospital of Shandong University, 247 Beiyuan Street, Tianqiao District, Jinan 250033, PR China.
Lei LouDepartment of Orthopaedics, Luoyang Orthopedic-Traumatological Hospital of Henan Province, No. 82, Qiming South Road, Chanhe Hui District, Luoyang 471002, PR China.
Tian-Tian RenDepartment of Orthopaedics, The First Affiliated Hospital of Ningbo University, No. 59 Liuting Street, Haishu District, Ningbo 315000, PR China.
Guo-Dong WangDepartment of Orthopaedics, Affiliated Hospital of Jining Medical University, No. 89 Guhuai Road, Rencheng District, Jining City 272000, PR China.
Qi LiSports Medicine Center, West China Hospital, Sichuan University, No. 37, Guoxue Lane, Wuhou District, Chengdu 610041, China.
Jian-Hua WuDepartment of Trauma Orthopedics, The Affiliated Hospital of Guizhou Medical University, No. 28, Guiyi Street, Yunyan District, Guiyang 550004, China.
Yong-Zhan ZhuDepartment of Orthopedics, Foshan Hospital of Traditional Chinese Medicine, No. 6, Qinren Road, Chancheng District, Foshan 528000, China.
Gang YinDepartment of Orthopedics, Binzhou Medical University Hospital, No. 661, Huanghe 2nd Road, Bincheng District, Binzhou 256603, China.
Tong-Fu WangDepartment of Sports Medicine and Arthroscopy, Tianjin Hospital of Tianjin University, No. 406, Jiefang South Road, Hexi District, Tianjin 300211, China.
Jian-Zhong QinDepartment of Hand and Foot, The Second Affiliated Hospital of Soochow University, No. 1055, Sanxiang Road, Gusu District, Suzhou 215004, PR China.
Amol SaxenaDepartment of Sports Medicine, Sutter-PAMF, 795 El Camino Real, Palo Alto, CA 94301, United States.
Chao MaSports Medicine Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, NO.199 Jiefang South Road, Quanshan district, Xuzhou 221009, PR China.

Funding

Research Project of Jiangsu Provincial Health Commission H2023023Xuzhou Medical Key Talents Program XWRCHT20220047
6 · The paper itself

Abstract

backgroundAll-inside arthroscopic procedures are now frequently employed to manage chronic lateral ankle instability (CLAI) with satisfactory functional outcomes. Currently, no evidence-based guidelines exist for all-inside arthroscopic procedures for CLAI. Many surgical decisions remain uncertain and challenging. SOURCES OF DATA: Published scientific literature in PubMed, MEDLINE, Web of Science, EMBASE, and Cochrane databases. AREAS OF AGREEMENT: All-inside arthroscopic repair and reconstruction procedures are reliable treatments for CLAI. AREAS OF CONTROVERSY: The all-inside arthroscopic procedures for CLAI present significant challenges, particularly in the following aspects. GROWING POINTS: Given the lack of guidelines for the all-inside arthroscopic procedures for CLAI, this evidence-based clinical practice guideline provides 11 recommendations to address the controversy. AREAS TIMELY FOR DEVELOPING RESEARCH: In patients with CLAI undergoing all-inside arthroscopic procedures, comparative studies are urgently needed to establish the optimal timing for weight-bearing, as well as return to work and sports.

Indexed as

Ankle JointArthroscopyJoint InstabilityChronic DiseaseEvidence-Based MedicineHumansSystematic Reviews as Topicarthroscopic managementchronic lateral ankle instabilityguidelines

Identifiers

PMID40183802
PMCPMC11970022

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Registered trials

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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.