Influence of activity level on the outcome of treatment of lateral ankle ligament rupture

Haraguchi, Naotsugu; Tokumo, Akito; Okamura, Ryo; Ito, Rieko; Suhara, Yasuaki; Hayashi, Hiromichi; Toga, Hidekazu

doi:10.1007/s00776-009-1346-7

Cited by 10 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All patients had intact skin around the ankle and no skin lesions. The preoperative visual analogue scale (VAS), the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle‐Hindfoot Score, and Karlsson Ankle Functional Score (KAFS) were 4.79 ± 1.85, 73.16 ± 11.23 and 75.02 ± 9.37, respectively.…”

Section: Methodsmentioning

confidence: 99%

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium‐ and Long‐Term Functional Follow‐Up

Feng

Sun

Wang

et al. 2020

Orthopaedic Surgery

View full text Add to dashboard Cite

Objective: To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium-and long-term follow-up.Methods: From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left ankles, 25 right ankles) aged between 21 and 56 years, with an average age of 32.17 AE 6.35 years, presenting with CLAI, was retrospectively analyzed. Among them, 32 injuries were caused by sprain and five injuries were caused by car accidents. The course of the disease lasted for 12 to 60 months, with an average of 26.07 AE 13.29 months. All patients had intact skin around the ankle and no skin lesions. All patients underwent arthroscopic anatomical repair of ATFL, with the fixation of one to two anchors. Pre-and post-operative visual analogue scales (VAS), the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Score (AOFAS), and the Karlsson Ankle Functional Score (KAFS) were compared to evaluate the curative effect of the operation. Results:The operation was successful in all 37 cases. The operation time ranged from 40 to 75 min, with an average of 51.25 AE 11.49 min. After surgery, all incisions healed in stage I and there were no complications such as nerve, blood vessel and tendon injury, implant rejection, or suture rejection. Hospital stays of postoperative patients were 3 to 5 days, with an average of 3.77 AE 1.36 days. All patients were followed for 24 to 45 months, averaging 33.16 AE 10.58 months. For three patients with CLAI combined with mild limitation of subjective ankle movement, joint activity was normal after rehabilitation function exercise and proprioceptive function training for 2 months. At the final follow-up, ankle pain had disappeared completely. The ankle varus stress test and ankle anterior drawer test were both negative. Range of joint motion was good. There was no lateral instability of the ankle and all patients returned to normal gait. The mean VAS score decreased to 1.12 AE 0.13, the AOFAS score increased to 92.53 AE 4.87, and the KAFS score increased to 93.36 AE 6.15. All the follow-up indexes were significantly different from those before surgery.Conclusion: Arthroscopic anatomical repair of ATFL for CLAI is precise, with less surgical trauma and reliable medium-and long-term effect.

show abstract

Section: Methodsmentioning

confidence: 99%

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium‐ and Long‐Term Functional Follow‐Up

Feng

Sun

Wang

et al. 2020

Orthopaedic Surgery

View full text Add to dashboard Cite

show abstract

“…It is possible that an ankle sprain recurrence most frequently occurs in those individuals who exhibit prolonged diminished postural stability following a preceding severe ankle sprain. As one third of all severe ankle sprains in athletes who perform strenuous sports, results in recurrence within the first year (Haraguchi et al, 2009), severe ankle sprain could lead to diminished postural stability in a considerable number of athletes. Therefore, it seems that those individuals with a 'severe' ankle sprain may be particularly important to consider for postural stability testing and sensorimotor training.…”

Section: Discussionmentioning

confidence: 99%

Postural stability and ankle sprain history in athletes compared to uninjured controls

Huurnink

Fransz

Kingma

et al. 2014

Clinical Biomechanics

View full text Add to dashboard Cite

show abstract

“…The above patients were randomized as remnant-preserving group (preservation of the ATFL remnant, n=25) and non-preserving group (no preservation of the ATFL remnant, n=28) according to the random number table method. There was no statistical difference in the general preoperative data between two groups; in addition, differences in Visual Analogue Scale (VAS) score, the American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS) [9], and Anterior Talar Translation (ATT) [10] between two groups were not statistically significant. (Table 1)…”

Section: Methodsmentioning

confidence: 95%

Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve the Short-term Function of Ankle

Feng

Maffulli

Oliva

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Anterior talofibular ligament (ATFL) reconstruction is a valid treatment of chronic lateral ankle instability (CLAI). The purpose of this study was to evaluate the significance of preserving and not preserving remnant in ATFL reconstruction, as well as the clinical efficacy.Methods From January 2015 to July 2017, fifty-three admitted remnant-preserving CLAI patients with ATFL injury were prospectively randomized as remnant-preserving group (preservation of ATFL) and non-preserving group (no preservation of ATFL). All patients received anatomic reconstruction of ATFL using the semitendinosus tendon autograft. The Visual Analogue Scale (VAS) score, the American Orthopedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), Anterior Talar Translation (ATT), and ankle proprioceptive recovery in both groups were compared.Results All patients were followed up for at least 2 years, and difference in the follow-up time between two groups was not statistically significant. Differences in VAS, AOFAS, KAFS, ATT and ankle proprioceptive recovery between two groups were not statistically significant.Conclusions Compared with non-remnant-preserving surgery, there are no short-term follow-up differences in postoperative ankle function, stability and proprioceptive recovery when semitendinosus tendon autograft is used to treat CLAI through remnant-preserving ATFL reconstruction.Level of Evidence: Level III, a prospective comparative study.Trial registration: Xuzhou Central Hospital, ZXYY-2015090. Registered 21 November 2014

show abstract

Influence of activity level on the outcome of treatment of lateral ankle ligament rupture

Cited by 10 publications

References 18 publications

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium‐ and Long‐Term Functional Follow‐Up

Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium‐ and Long‐Term Functional Follow‐Up

Postural stability and ankle sprain history in athletes compared to uninjured controls

Arthroscopic Remnant-Preserving Anterior Talofibular Ligament Reconstruction does not Improve the Short-term Function of Ankle

Contact Info

Product

Resources

About