ArticleJournal of experimental orthopaedics2026
Excellent functional outcomes without physeal violation after arthroscopic all-inside ligament repair for ankle instability in skeletally immature patients.
Article in Journal of experimental orthopaedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Functional Outcomes of All-Inside Arthroscopic Repair for Chronic Ankle Instability in Adolescents: A Case Series.Journal of orthopaedic case reports · 2026Article
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6 authors.
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Abstract
Purpose: Arthroscopic all-inside ligament repair is a widely used technique for treating chronic lateral ankle instability. This study aimed to evaluate the clinical outcomes of skeletally immature patients who underwent all-inside ligament repair. Methods: Skeletally immature patients who underwent surgery for ankle instability between 2018 and 2022 were retrospectively evaluated. All patients were treated arthroscopically using an all-inside ligament repair technique, allowing an all-epiphyseal anatomical repair of the ligament remnant. Clinical outcomes were assessed pre- and postoperatively using Visual Analogue Scale (VAS), Foot Functional Index (FFI) score and Foot and Ankle Ability Measure-Sports subscale (FAAM-SS). Postoperative magnetic resonance imaging (MRI) was routinely performed at 3 months to evaluate ligament repair and detect any physeal violation. At final follow-up, patient satisfaction, complications, lower-limb axial deviations or clinical signs of physeal violation were recorded. Results: Forty patients aged 8-15 years (21 females; mean age 13.8 ± 2.3 years) were included. Mean follow-up was 44.8 months ± 16.5 (range, 24-78). An anterior talofibular ligament (ATFL) tear was identified in all cases, with concomitant calcaneofibular ligament detachment observed in four patients. All clinical scores improved significantly ( Conclusions: Ankle instability in skeletally immature patients can be successfully treated with arthroscopic all-inside ligament repair. This technique provides an all-epiphyseal anatomical repair of the ligament remnant with a low risk of physeal violation and results in excellent clinical outcomes. Level of Evidence: Level IV, retrospective case series.
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