Arthroscopic treatment of chronic ankle instability: Prospective study of outcomes in 286 patients

Orthopaedics & Traumatology, Surgery & Research : OTSR
Ronny LopesFrench Arthroscopic Society

Abstract

Chronic ankle instability (CAI) is the main complication of ankle sprains and requires surgery if non-operative treatment fails. Surgical ankle stabilisation techniques can be roughly classified into two groups, namely, repair involving retensioning and suturing of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) and reconstruction using a tendon graft. Arthroscopic repair and reconstruction techniques for CAI have been introduced recently. The objective of this prospective multicentre study was to assess the feasibility, morbidity, and short-term outcomes of these arthroscopic ankle-stabilisation techniques. Consecutive patients scheduled for arthroscopic treatment of CAI were included prospectively. Of the 286 included patients, 115 underwent ligament repair and 171 ligament reconstruction. Mean follow-up was 9.6 months (range, 6-43 months). We recorded the AOFAS and Karlsson scores, patient satisfaction, complications, and time to return to sports. The overall patient satisfaction score was 8.5/10. The AOFAS and Karlsson scores improved significantly between the pre- and postoperative assessments, from 62.1 to 89.2 and from 55 to 87.1, respectively. These scores were not significantly different bet...Continue Reading

Citations

Feb 8, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·F MalageladaM Dalmau-Pastor
Oct 28, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Pietro SpennacchioEric Hamrin Senorski
Nov 16, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Guillaume CordierFrederick Michels
Jul 2, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Stéphane GuilloAlexandre Hardy
Mar 31, 2020·La Radiologia medica·Domenico AlbanoLuca Maria Sconfienza
May 2, 2020·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Mitsuru HanadaYukihiro Matsuyama
Sep 8, 2020·Clinics in Sports Medicine·Eric FerkelCory Kwong
Mar 11, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Tristan DuguayAlexandre Hardy
Jul 18, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Stéphane GuilloThomas Bauer
Jul 2, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Rony LopesVincent Morin

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