Evidence map›Paper›PMID 40719859›Full record

ArticleArchives of orthopaedic and trauma surgery2025

Biomechanical testing of lateral and medial ligament reconstruction using bone anchors with autologous resident tissue: influence of different reconstruction techniques on stability and mobility.

Lea Marie Keßling, Anna Altemeier, Dennis Nebel, Sarah Ettinger, Kiriakos Daniilidis, Christian Plaaß, Christina Stukenborg-Colsman, Leif Claaßen

Abstract read
In one paragraph

Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Lea Marie KeßlingDepartment of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Anna AltemeierDepartment of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Dennis NebelLaboratory for Biomechanics and Biomaterials, Department of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany. nebel.dennis@mh-hannover.de.
Sarah EttingerDepartment of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Kiriakos DaniilidisOrthopedics Trauma Center (OTC) Regensburg, Regensburg, Germany.
Christian PlaaßDepartment of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Christina Stukenborg-ColsmanDepartment of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.
Leif ClaaßenDepartment of Orthopaedic Surgery ‑ DIAKOVERE Annastift, Hannover Medical School, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe optimal surgical technique for chronic ankle instability remains disputable. This study had two main questions: the effect of additional medial collateral ligament (MCL) stabilisation in ankle instability and comparison of open and arthroscopic surgical techniques for lateral ligament repair. MATERIALS AND

methodsWe used 10 fresh-frozen cadaver feet (Science Care, Phoenix, AZ, USA) per group. Eight states were tested in an open surgery group: native; MCL cut; MCL repair; anterior talofibular ligament (ATFL) cut; calcaneofibular ligament (CFL) cut; MCL re-cut + ATFL repair; MCL re-cut + AFTL and CFL repair; and MCL, ATFL, and CFL repair. Three states were tested in an arthroscopic group: Native; ATFL cut; and ATFL repair. A multidirectional loading test with five different movements (anterior translation (AT), supination (SUP), pronation (PRO), internal rotation (IR), and external rotation (ER)) was performed using a robotic system with six degrees-of-freedom.

resultsRefixation of the ATFL and CFL resulted in significant reductions in AT, IR, and SUP laxities (p < 0.05). Compared to this we observed a significant reduction of ER and PRO laxity when the MCL was additionally repaired ("MCL, ATFL and CFL repair") (p < 0.05). The outcomes of "MCL, ATFL and CFL repair" of the open procedure showed no significant differences in AT, SUP and IR laxity in the different ankle positions to the outcomes of "ATFL repair" of the arthroscopic procedure (p > 0.05).

conclusionLateral ligamentoplasty leads to stabilisation of the ankle joint in AT, IR and SUP. Additional medial stabilisation resulted in further stabilisation, highlighting the relevance of preoperative and intraoperative evaluations of the medial ankle ligaments treating ankle instability. The stabilisation of the ankle joint by open and arthroscopic techniques was comparable for lateral ligament repair.

Indexed as

Ankle JointJoint InstabilityLateral Ligament, AnklePlastic Surgery ProceduresSuture AnchorsAgedArthroscopyBiomechanical PhenomenaCadaverFemaleHumansMaleAnterior talofibular ligamentBiomechanicsChronic ankle instabilityDeltoid ligamentLigament repairMedial instability

Identifiers

PMID40719859
PMCPMC12304012

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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.