Evidence map›Paper›PMID 42415150›Full record

ArticleJournal of orthopaedic surgery and research2026

Increasing age is associated with worse sports function but not daily living function following arthroscopic anterior talofibular ligament repair.

Nian Sun, Long Li, Yingzhang Cheng, Xiangtian Deng, Bowen Fu, Canjun Zeng, Hao Guo

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Article in Journal of orthopaedic surgery and research, 2026. 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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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Nian Sun *Department of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China.
Long Li *Department of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China.
Yingzhang Cheng *Department of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China.
Xiangtian DengDepartment of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China.
Bowen FuDepartment of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China.
Canjun ZengDepartment of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China. zengcanjun@163.com.
Hao GuoDepartment of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, 183 West Zhongshan Road, Tianhe District, Guangzhou, 510630, People's Republic of China. guohao1409@163.com.

Funding

Guangzhou Basic and Applied Basic Research Foundation 2025A04J3678High-Tech Clinical Technology Projects of Guangzhou 2026P-GX013Key Clinical Techniques Projects of Guangzhou 2024P-ZD29
6 · The paper itself

Abstract

backgroundArthroscopic anterior talofibular ligament repair (AATFLR) has been shown to restore ankle function effectively and to provide favourable clinical outcomes in chronic lateral ankle instability (CLAI). The present study was designed to identify variables associated with suboptimal postoperative sports-related functional recovery in patients with CLAI.

methodsPatients who underwent AATFLR between December 2021 and February 2024 were included. Baseline characteristics including age, sex, body mass index, serum uric acid, concomitant avulsion/free bone fragments and osteochondral lesion of the talus were collected. Postoperative outcomes were assessed using the Foot and Ankle Ability Measure-Activities of Daily Living (FAAM-ADL), the FAAM-Sport score, the Karlsson score, the numeric rating scale pain score, and the Tegner score. Multivariable linear regression and ordinal logistic regression analyses were performed to identify variables associated with postoperative functional recovery. Regression coefficients are reported as β.

resultsA total of 197 patients were included, with a mean follow-up of 30.0 months. All functional outcomes improved significantly postoperatively (p < 0.001). Multivariate regression analyses demonstrated that increasing age was associated with lower postoperative FAAM-Sport score (β = - 0.51, 95% CI [- 0.78; -0.23], p < 0.001). However, no association was observed between age and the FAAM-ADL score (β = - 0.07, 95% CI [- 0.26; 0.12], p = 0.471). Increasing age significantly reduced odds of achieving higher postoperative Tegner activity levels (OR = 0.947, 95% CI [0.92-0.98], p = 0.002). Female sex was associated with lower postoperative Karlsson score (β = - 6.56, 95% CI [- 10.92; - 2.21], p = 0.003), which did not achieve the minimal clinically important difference. The overall complication rate was 31.0%, consisting predominantly of minor complications.

conclusionsAATFLR significantly improved ankle function and reduced pain in patients with CLAI. Increasing age may be associated with poorer postoperative sports-related functional recovery after AATFLR. However, it may not affect activities of daily living. Sex may not be associated with postoperative functional recovery. Older patients with high athletic demands should be provided with more comprehensive preoperative risk counselling. Level of evidence Level III, retrospective cohort study.

Indexed as

Activities of Daily LivingArthroscopyJoint InstabilityLateral Ligament, AnkleRecovery of FunctionSportsAdultAge FactorsFemaleFollow-Up StudiesHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnterior talofibular ligamentChronic lateral ankle instabilityFoot and ankle ability measureFunctional outcomeRisk factors

Identifiers

PMID42415150
PMCPMC13629125

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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.