ArticleJournal of orthopaedic surgery and research2025
All-inside arthroscopic repair of ATFL and CFL separately for chronic lateral ankle instability in conjunction with subtalar instability.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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.
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.
Who cites it
4 citing papers in PubMed.
- Article
- Current concepts in arthroscopic treatment for chronic lateral ankle instability: a clinical practice review.Annals of joint · 2026Review
- A LASSO regression-driven nomogram to predict functional outcomes after surgery for chronic lateral ankle instability.Frontiers in surgery · 2026Article
- Transcutaneous electrical nerve stimulation treated anterior talo-fibular ligament injured rat through the gut-joint axis and intestinal microbiota.Frontiers in microbiology · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundChronic lateral ankle instability (CLAI) is a common condition often associated with damage to the anterior talofibular ligament (ATFL). In cases where CLAI is accompanied by subtalar instability (STI) due to calcaneofibular ligament (CFL) injury, the optimal surgical approach remains controversial. While isolated ATFL repair has been shown to effectively restore ankle joint stability, it may be insufficient to address the subtalar joint instability caused by CFL damage. This study aimed to evaluate the clinical importance of CFL repair by comparing the outcomes of isolated ATFL repair versus combined ATFL and CFL repair.
methodsA retrospective cohort study was conducted involving patients diagnosed with CLAI in conjunction with STI from January 2018 to January 2022. Participants were divided into two groups: one underwent isolated ATFL repair (ATFL group), and the other underwent combined ATFL and CFL repair (ATFL + CFL group). Clinical outcomes were assessed using the American Orthopaedic Foot & Ankle Society Ankle-Hindfoot Scale (AOFAS-AH), Karlsson Ankle Functional Score (KAFS) and Visual Analog Scale (VAS) scores, while radiological outcomes were evaluated by MRI and stress radiographs.
resultsAll the functional scores significantly improved in both groups post-surgery. However, the ATFL + CFL group demonstrated superior functional recovery, with higher AOFAS scores and greater reductions in VAS pain scores compared to the ATFL group. Radiological evaluation indicated better restoration of subtalar joint stability in the ATFL + CFL group. At the final follow-up, 3 cases of recurrent instability were observed in the isolated ATFL repair group. No significant difference in other complication rates was observed between the two groups.
conclusionThe study demonstrated the importance of CFL repair in patients with CLAI in conjunction with STI. While isolated ATFL repair is effective for ankle joint stability, combined ATFL and CFL repair offers superior outcomes by addressing both ankle and subtalar joint instability. These findings suggest that CFL repair should be considered in surgical planning for patients with STI to optimize functional recovery and long-term stability. LEVEL OF EVIDENCE: Level III.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.