Ankle Stabilization With Arthroscopic Versus Open With Suture Tape Augmentation Techniques

DeVries, J. George; Scharer, Brandon M.; Romdenne, Taylor A.

doi:10.1053/j.jfas.2018.08.011

Cited by 32 publications

(48 citation statements)

References 22 publications

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“…In this review, Rigby et al [21] found that the rates of returning to sports in the two groups were both 97%, and Matsui et al [19] stated that no significant difference existed between the two groups with regard to the mean time of returning to sports. Only DeVries et al [22] found that the returning time to activity/sports in the arthroscopic group was shorter than that in the open group, but the returning rate showed no significant difference. It is noteworthy that faster recovery and earlier return to activity/sports may rely not only on operative techniques but also on postoperative management.…”

Section: Discussionmentioning

confidence: 95%

“…Rigby et al [21] reported that the rate of return to sports activity was 96.7% (29 of 30 patients) in the arthroscopic group and 96.9% (31 of 32 patients) in the open group. DeVries et al [22] showed that the 35 out of 43 patients returned to activity/sports in the arthroscopic group, the returning time was 127.2 ± 96.3 (range 53-569) days. Nine out of 12 patients returned to activity/sports in the open group, the returning time was 170.7 ± 66.4 (range 56-174) days.…”

Section: Fig 4 Forest Plots Of the Comparison Of Arthroscopic And Opmentioning

confidence: 96%

“…Return to full activity/sports Matsui et al [19] reported that the mean time to return to daily activity was significantly shorter in the arthroscopic group: 5.3 (range 3-12) weeks vs 7.1 (range [5][6][7][8][9][10][11][12] weeks in the open group (P < .05). However, there was no significant difference in mean time to return to activity/sports: 16.5 (range 12-22) weeks in the arthroscopic group vs 17.1 (range [13][14][15][16][17][18][19][20][21][22] weeks in the open group (P = .07). Yi et al [23] reported that the length of time to recover from surgery was 5.4 ± 1.7 weeks in the arthroscopic group, and that time was 7.2 ± 2.3 weeks in the open group, with significant difference (t = 3.620, P = .001).…”

Section: Fig 4 Forest Plots Of the Comparison Of Arthroscopic And Opmentioning

confidence: 99%

“…Up to date, there is inadequate clinical evidence in support of the use of arthroscopic repair or open repair techniques. In recent years, several clinical trials have aimed to compare arthroscopic and open repair for ATFL [11,[19][20][21][22][23][24]. These studies demonstrated some similar outcomes as well as different results between the two techniques after short-or mid-term follow-ups.…”

Section: Introductionmentioning

confidence: 99%

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Does arthroscopic repair show superiority over open repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review and meta-analysis

Zhi

Zhang

et al. 2020

J Orthop Surg Res

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Background: There is still no definite consensus on whether arthroscopic repair shows superiority over open repair for chronic lateral ankle instability. We conducted a systematic review and meta-analysis of the current comparative studies to make a generalized analysis. Methods: PubMed, Embase, and Web of Science databases were searched from inception to April 2020. Included studies were assessed by the level of evidence and quality of evidence (Cochrane Handbook or MINORS). The process of data extraction was conducted by two independent authors. The comparative results of clinical outcomes, stress radiographic outcomes, and complication rates between two groups were pooled. Statistical analysis was performed using STATA. Results: Nine comparative studies for a total of 473 patients (250 arthroscopic repair, 223 open repair) were included. For the clinical outcomes, a significant difference was found in favor of arthroscopic repair with regard to AOFAS scores (MD 0.32, 95% CI 0.12 to 0.53, I 2 = 7.7%, P = .370) and VAS scores (MD − 0.30, 95% CI − 0.54 to − 0.05, I 2 = 48.3%, P = .102). No significant difference was found regarding to stress radiographic outcomes. Importantly, the total complication rate (RR 0.88, 95% CI 0.51 to 1.49, I 2 = 0%, P = .957) as well as nerve complication rate (RR 1.21, 95% CI 0.53 to 2.75, I 2 = 0%, P = .975) of arthroscopic repair group is not significantly different to that of open repair group. Conclusions: Arthroscopic repair for lateral ankle instability shows excellent clinical results comparable to open repair. Especially, arthroscopic repair might alleviate more pain due to the minimally invasive procedure. Patients receiving arthroscopic repair do not result in a higher total complication rate and nerve injury rate.

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Section: Discussionmentioning

confidence: 95%

Section: Fig 4 Forest Plots Of the Comparison Of Arthroscopic And Opmentioning

confidence: 96%

Section: Fig 4 Forest Plots Of the Comparison Of Arthroscopic And Opmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Does arthroscopic repair show superiority over open repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review and meta-analysis

Zhi

Zhang

et al. 2020

J Orthop Surg Res

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“…A total of 303 patients underwent arthroscopic arthrodesis, and 214 patients underwent open arthrodesis. In all cases, arthroscopy was used with standard anteromedial and anterolateral portals [25,28].…”

Section: Discussionmentioning

confidence: 99%

Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis

Mok

Panneerselavam

et al. 2020

J Orthop Surg Res

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Background: Osteoarthritis (OA) is a growing health concern that affects approximately 27 million people in the USA and is associated with a $185 billion annual cost burden. Choosing between open surgery and arthroscopic arthrodesis for ankle arthritis is still controversial. This study compared arthroscopic arthrodesis and open surgery by performing a systematic review and meta-analysis. Methods: For the systematic review, a literature search was conducted in 4 English databases (PubMed, Embase, Medline and the Cochrane Library) from inception to February 2020. Three prospective cohort studies and 7 retrospective cohort studies, enrolling a total of 507 patients with ankle arthritis, were included. Results: For fusion rate, the pooled data showed a significantly higher rate of fusion during arthroscopic arthrodesis compared with open surgery (odds ratio 0.25, 95% CI 0.11 to 0.57, p = 0.0010). Regarding estimated blood loss, the pooled data showed significantly less blood loss during arthroscopic arthrodesis compared with open surgery (WMD 52.04, 95% CI 14.14 to 89.94, p = 0.007). For tourniquet time, the pooled data showed a shorter tourniquet time during arthroscopic arthrodesis compared with open surgery (WMD 22.68, 95% CI 1.92 to 43.43, p = 0.03). For length of hospital stay, the pooled data showed less hospitalisation time for patients undergoing arthroscopic arthrodesis compared with open surgery (WMD 1.62, 95% CI 0.97 to 2.26, p < 0.00001). The pooled data showed better recovery for the patients who underwent arthroscopic arthrodesis compared with open surgery at 1 year (WMD 14.73, 95% CI 6.66 to 22.80, p = 0.0003). Conclusion: In conclusion, arthroscopic arthrodesis was associated with a higher fusion rate, smaller estimated blood loss, shorter tourniquet time, and shorter length of hospitalisation than open surgery.

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Ligament bracing for lateral ankle joint instability

Galla

2023

Arthroskopie

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Ankle Stabilization With Arthroscopic Versus Open With Suture Tape Augmentation Techniques

Cited by 32 publications

References 22 publications

Does arthroscopic repair show superiority over open repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review and meta-analysis

Does arthroscopic repair show superiority over open repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review and meta-analysis

Open versus arthroscopic ankle arthrodesis: a systematic review and meta-analysis

Ligament bracing for lateral ankle joint instability

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