Knotless All-Inside Arthroscopic Modified Broström Procedure for Lateral Ankle Instability

Yeo, Eui Dong; Park, Sung Bum; Lee, Sang Woo; Cho, Whi Je; Kim, Hyun Kwon; Cheon, Seung Hee; Lee, Young Koo

doi:10.1053/j.jfas.2020.11.004

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Then they described an arthroscopic all‐inside ATFL and CFL anatomic repair technique using a suture passer and two knotless anchors, and also achieved excellent clinical results [32]. Other studies [13, 25, 26, 35, 37] also reported the arthroscopic repair of the ATFL with a knotless suture anchor and achieved high success rate with few complications.…”

Section: Discussionmentioning

confidence: 99%

Absorbable suture anchor and knotless anchor techniques produced similar outcomes in arthroscopic anterior talofibular ligament repair

Zhi

Zhang

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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PurposeThe purpose of this study is to compare absorbable suture anchor with knotless anchor techniques for arthroscopic anterior talofibular ligament (ATFL) repair. MethodA multicenter retrospective study was performed with 185 patients, who had undergone an arthroscopic ATFL repair procedure using absorbable suture anchor or knotless anchor between May 2017 and October 2019. The follow‐up time was a minimum of 18 months. Karlsson–Peterson score, visual analogue scale (VAS), and Cumberland ankle instability tool (CAIT) were evaluated. The complications were also recorded. ResultsOne hundred and seven patients underwent one absorbable suture anchor repair procedure (Group A [A]), and the other seventy‐eight patients underwent one knotless anchor repair procedure (Group B [B]). At the final follow‐up, both Karlsson–Peterson score (A, pre 61.0 ± 8.0 vs post 93.5 ± 5.3, P < 0.001; B, pre 59.5 ± 8.2 vs post 92.4 ± 6.3, P < 0.001), VAS score (A, pre 5.0 ± 1.3 vs post 0.5 ± 0.7, P < 0.001; B, pre 5.5 ± 1.2 vs post 0.9 ± 1.0, P < 0.001), and CAIT score (A, pre 53.1 ± 12.0 vs post 93.1 ± 6.6, P < 0.001; B, pre 51.6 ± 12.0 vs post 93.1 ± 6.5, P < 0.001) improved significantly in both groups. There was no significant difference between the two groups regarding the Karlsson–Peterson score (A, pre 61.0 ± 8.0 vs B, pre 59.5 ± 8.2, n.s; A, post 93.5 ± 5.3 vs B, post 92.4 ± 6.3, n.s), CAIT score (A, pre 53.1 ± 12.0 vs B, pre 51.6 ± 12.0, n.s; A, post 93.1 ± 6.6 vs B, post 93.1 ± 6.5, n.s) and the change ranges of VAS (A, 4.5 ± 1.0 vs B, 4.6 ± 1.2, n.s). Anchor complications were easier to occur in Group B (0/107 vs 6/78, P = 0.007). Knot irritation slightly increased in Group A (10/107 vs 0/78, P = 0.006). No significant difference was found regarding total complication rates (A, 10/107 vs B, 6/78, n.s). ConclusionAbsorbable suture anchor and knotless anchor for arthroscopic ATFL repair produced similar clinical outcomes. The ankle stability scores increased significantly in both groups. However, the knotless anchor has a higher risk to loosen, deviated direction or break, while the absorbable suture anchor still has a slim chance of knot irritation. Level of evidenceIII.

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Section: Discussionmentioning

confidence: 99%

Absorbable suture anchor and knotless anchor techniques produced similar outcomes in arthroscopic anterior talofibular ligament repair

Zhi

Zhang

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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show abstract

“…Compared with the classic open Broström or Broström–Gould procedures, arthroscopic ATFL repair is minimally invasive and has the potential of rapid recovery [3, 13, 23]. Various arthroscopic ATFL repair techniques have been reported in the literature [1, 12, 16, 18, 22, 24], but few studies made a comparison between the different arthroscopic methods. Simple suture techniques have been widely used [6, 11, 15, 23, 25]; however, lasso‐loop techniques have also become popular since Takao and colleagues first introduced the lasso‐loop stitch in arthroscopic ATFL repair [20–22, 26].…”

Section: Introductionmentioning

confidence: 99%

“…1 3 [1,12,16,18,22,24], but few studies made a comparison between the diferent arthroscopic methods. Simple suture techniques have been widely used [6,11,15,23,25]; however, lasso-loop techniques have also become popular since Takao and colleagues irst introduced the lasso-loop stitch in arthroscopic ATFL repair [20][21][22]26].…”

Section: Introductionmentioning

confidence: 99%

The lasso-loop technique is equivalent to the simple suture technique in arthroscopic anterior talofibular ligament repair

Guo

Chen

et al. 2022

Knee Surg Sports Traumatol Arthrosc

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Purpose To compare the clinical outcomes of the lasso-loop and simple suture techniques in arthroscopic anterior taloibular ligament (ATFL) repair for the treatment of chronic lateral ankle instability (CLAI). Methods From 2018 to 2020, patients with CLAI who underwent arthroscopic ATFL repair using the lasso-loop or simple suture technique were matched 1:1 (arthroscopic lasso-loop [AL] group, n = 29; simple arthroscopic suture [AS] group, n = 29) based on age, sex, afected side, body mass index, and follow-up duration using propensity score matching and retrospectively evaluated. Karlsson score, visual analogue scale (VAS) score, Tegner score, anterior drawer test (ADT) results, complications, patient-reported satisfaction, and magnetic resonance (MR) re-evaluation indings of ATFL quality were used to describe the outcomes. ResultsThe patient characteristics or follow-up durations did not signiicantly difer between the two groups. The Karlsson score, VAS score, and Tegner score improved signiicantly in both groups after a mean follow-up duration of 29.6 ± 2.8 months. The postoperative clinical scores, ADT results, satisfaction rates, complication rates and MR re-evaluation indings were not signiicantly diferent between the two groups at the latest follow-up. ConclusionThe lasso-loop technique was equivalent to the simple suture technique in arthroscopic ATFL repair for the treatment of CLAI after a minimum follow-up of 2 years, suggesting that the simple suture technique is suicient for arthroscopic ATFL repair in most patients without the need to add a lasso loop. Level of evidence Level III.

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Comparative analyses of arthroscopic and open repairs of lateral ligament complex injuries of the ankle: a systematic review and meta-analysis of the medium-term outcomes

Tonsuthanluck,

Handoyo,

Tharincharoen

et al. 2024

Eur J Orthop Surg Traumatol

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Knotless All-Inside Arthroscopic Modified Broström Procedure for Lateral Ankle Instability

Cited by 5 publications

References 24 publications

Absorbable suture anchor and knotless anchor techniques produced similar outcomes in arthroscopic anterior talofibular ligament repair

Absorbable suture anchor and knotless anchor techniques produced similar outcomes in arthroscopic anterior talofibular ligament repair

The lasso-loop technique is equivalent to the simple suture technique in arthroscopic anterior talofibular ligament repair

Comparative analyses of arthroscopic and open repairs of lateral ligament complex injuries of the ankle: a systematic review and meta-analysis of the medium-term outcomes

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