Evidence map›Paper›PMID 42719479›Full record

ArticleOrthopaedic journal of sports medicine2026

Generalized Joint Laxity Is an Independent Predictor of Postoperative Resprain Following Anatomic Reconstruction Using Gracilis Tendon Autograft for Patients With Chronic Lateral Ankle Instability.

Haoxuan Liu, Jianhong Li, Tong Su, Yanfang Jiang, Yanbin Pi, Xing Xie, Qinwei Guo, Chen Jiao, Dong Jiang

Abstract read
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Article in Orthopaedic journal of sports medicine, 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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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Haoxuan LiuDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Jianhong LiThe TCM hospital of Longquanyi, Department of Joint Movement Medicine, Chengdu, Longquanyi District, Chengdu, Sichuan, China.
Tong SuDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Yanfang JiangDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Yanbin PiDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Xing XieDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Qinwei GuoDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.ORCID https://orcid.org/0000-0003-3600-9544
Chen JiaoDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.
Dong JiangDepartment of Sports Medicine, Peking University Third Hospital, Institute of Sports Medicine of Peking University, Beijing Key Laboratory of Sports Injuries, Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China.ORCID https://orcid.org/0000-0003-4380-7683

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Generalized joint laxity (GJL) has been reported as a risk factor for poor outcomes following multiligament surgery. However, no previous studies have investigated whether GJL is a risk factor of postoperative resprain following anatomic reconstruction using gracilis tendon autograft. Purpose: To investigate whether GJL is a risk factor of postoperative resprain in chronic lateral ankle instability (CLAI) patients following anatomic reconstruction using gracilis tendon autograft. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 290 consecutive CLAI patients who underwent anatomic reconstruction using gracilis tendon autograft from January 2018 to September 2023 with a minimum follow-up of 24 months were retrospectively evaluated and were divided into 2 groups according to the presence of GJL (based on age and Beighton score). Clinical outcomes were measured through the presence of postoperative noncontact resprain and recurrent instability, return-to-sport status, and patient-reported outcomes including the visual analog scale (VAS) for pain, Tegner Activity Level scale, and Karlsson-Peterson ankle score (Karlsson score). Risk factors associated with postoperative noncontact resprain were determined using univariate and multivariate logistic regression analysis. Survival outcomes were compared using Kaplan-Meier analysis. Results: A total of 72 patients were included in the GJL group (mean age at surgery, 27.5 ± 9.0 years; male, n = 27; female, n = 45), and 218 patients were included in the non-GJL group (mean age at surgery, 32.8 ± 10.2 years; male, n = 129; female, n = 89). The overall noncontact resprain rate was 6.6%, and the overall recurrent instability rate was 1.7%. There was no significant difference in the postoperative VAS, Tegner, return to recreational sports rate, return to preinjury sports rate, and other surgical complications between the 2 groups. The patients with GJL demonstrated a significantly higher postoperative noncontact resprain rate (15.3% vs 3.7%; Conclusion: GJL is an independent predictor of postoperative noncontact resprain of CLAI patients following anatomic reconstruction using gracilis tendon autograft.

Indexed as

anatomic reconstructionautograftchronic lateral ankle instabilitygeneralized joint laxityresprain

Identifiers

PMID42719479
PMCPMC13554615

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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.