Fair evidence consistently supports open surgical treatment for chronic ankle instability: a systematic review

Purcell, Chad; Calder, James; Matsui, Kentaro; Andersson, Pernilla; Karlsson, Jón; Glazebrook, Mark

doi:10.1136/jisakos-2018-000265

Cited by 3 publications

(2 citation statements)

References 74 publications

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“…I samsvar med systematiske oversiktsartikler er vår kliniske erfaring fra en populasjon av overveiende middelaldrende pasienter med kronisk ankelinstabilitet at kirurgi har god effekt (10,11). Kirurgisk behandling har sannsynligvis ingen plass i aku behandling av lateral ankelligamentskade, selv om tilgjengelig evidensgrunnlag i hovedsak baserer seg på studier av unge mannlige idre sutøvere (3,12).…”

Section: K I R U R G I S K B E H a N D L I N Gunclassified

Laterale ankelligamentskader

Brun¹,

Stødle²,

Molund³

et al. 2023

Tidsskriftet

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Ortopedisk avdeling Lovisenberg Diakonale Sykehus Forfa erbidrag: utforming og revisjon av det innsendte manuskriptet. Ole-Christian L. Brun er ph.d. og overlege. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Ortopedisk avdeling Oslo universitetssykehus, Ullevål Forfa erbidrag: utforming og revisjon av det innsendte manuskriptet. Are Haukåen Stødle er ph.d. og overlege. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Ortopedisk avdeling Sykehuset Østfold Kalnes Forfa erbidrag: utforming og revisjon av det innsendte manuskriptet. Marius Molund er ph.d. og overlege. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Ortopedisk avdeling Oslo universitetssykehus, Ullevål Forfa erbidrag: utforming og revisjon av det innsendte manuskriptet. Kjetil Hvaal er ph.d., overlege og leder av Nasjonal kompetansetjeneste for kirurgi ved fot-og ankeldeformiteter. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Laterale ankelligamentskader oppstår i forbindelse med inversjonstraumer og er en av de vanligste skadene både i den generelle befolkningen og blant aktive idre sutøvere. En lateral ankelligamentskade svekker stabiliserende strukturer i ankelen og kan disponere for vedvarende instabilitet i ankelleddet. Aku e laterale Laterale ankelligamentskader | Tidsskrift for Den norske legeforening

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Section: K I R U R G I S K B E H a N D L I N Gunclassified

Laterale ankelligamentskader

Brun¹,

Stødle²,

Molund³

et al. 2023

Tidsskriftet

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“…Most acute ankle sprains are treated with nonoperative modalities including, rest, ice, compression, immobilization, and functional rehabilitation with subsequent bracing and balance training 2. The surgical options are lateral ligament repair or reconstruction that may be performed using traditional open3 or minimally invasive techniques 4–6…”

Section: Historical Perspectivementioning

confidence: 99%

Open Ankle Reconstruction of Lateral Ligaments (O-Anti-RoLL)

Glazebrook¹,

Stone

Pasache-Lozano³

et al. 2022

Techniques in Foot &Amp; Ankle Surgery

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Ankle instability is a disabling condition that severely affects people's quality of life. Nonoperative options have been suggested however a surgical procedure is often required to improve symptomatology and function of the ankle joint. In the current paper we describe a surgical technique of an open ankle reconstruction of the lateral ligaments (O-Anti-RoLL), which is a simple and safe surgical technique that utilizes an anatomic Y-graft.Level of Evidence: Diagnostic Level V. Expert opinion. See Instructions for Authors for a complete description of levels of evidence.

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High incidence of post‐operative re‐sprain following suture tape implantation for anterior talofibular ligament insufficiency and risk factors for post‐operative re‐sprain

Choi,

Suh,

Park

et al. 2024

Knee surg. sports traumatol. arthrosc.

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PurposeAnterior talofibular ligament (ATFL) insufficiency encompasses situations in which (i) frequent sprains cause ATFL loss, as evidenced by ATFL non‐visualization on preoperative magnetic resonance imaging; or (ii) minimal healthy ATFL tissue for repair is left after the removal of the large os subfibulare. Suture tape implantation can be indicated for these cases rather than conventional ligament repair. This study was designed to investigate the incidence of post‐operative re‐sprain in patients who underwent suture tape implantation for ATFL insufficiency, and risk factors influencing the occurrence of post‐operative re‐sprain were identified.MethodsA total of 68 patients who underwent suture tape implantation for ATFL insufficiency from January 2016 to December 2021 were retrospectively evaluated. The minimum follow‐up duration for inclusion was 2 years after surgery. All included patients were divided into two groups according to the presence of post‐operative re‐sprain during the follow‐up period. Multiple clinico‐radiographic parameters were measured, and binary logistic regression analysis was performed to determine the factors influencing post‐operative re‐sprain.ResultsPost‐operative re‐sprain occurred in 19 of the 68 patients (27.9%), and multiple re‐sprains persisted in 7 patients (10.3%). Post‐operative re‐sprain was more likely to occur in patients who smoked after surgery (odds ratio [OR], 3.510), had generalized ligament laxity (OR, 4.364) and engaged in occupations requiring high physical activity levels (OR, 4.421), including soldiers, professional athletes, student‐athletes and mailmen.ConclusionThe incidence of multiple post‐operative re‐sprains was high after suture tape implantation for ATFL insufficiency. Caution is particularly warranted in patients with risk factors, necessitating meticulous attention to their care. Careful consideration of strategies to mitigate risks when performing the surgery is also recommended.Level of EvidenceLevel III.

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Fair evidence consistently supports open surgical treatment for chronic ankle instability: a systematic review

Cited by 3 publications

References 74 publications

Laterale ankelligamentskader

Laterale ankelligamentskader

Open Ankle Reconstruction of Lateral Ligaments (O-Anti-RoLL)

High incidence of post‐operative re‐sprain following suture tape implantation for anterior talofibular ligament insufficiency and risk factors for post‐operative re‐sprain

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