Early recovery after arthroscopic repair compared to open repair of the anterior talofibular ligament for lateral instability of the ankle

Abstract

Compared with the open procedure, arthroscopic ATFL repair with IER reinforcement for LIA had an equivalent clinical result at the 1-year follow-up and allowed early recovery after surgery.

Return to sport following lateral ankle ligament repair is under-reported: a systematic review

“…Without external supports, the elapsed time between injury and return to full athletic activity was 16.0 weeks (F) and 10.1 weeks (RF) (p<0.0001). Matsui et al 26 compared arthroscopic (A) and open (O) repairs, and found no significant difference in mean time to return to sports activities for the two groups (16.5 weeks (A) vs 17.1 weeks (O); p=0.07). Yoo and Yang38 compared arthroscopic Broström with an internal brace to arthroscopic Broström without an internal brace.…”

A comparison between arthroscopic and open surgery for treatment outcomes of chronic lateral ankle instability accompanied by osteochondral lesions of the talus

“…We noticed that the patients in Yeo, Li, and Rigby' studies [15,17,18] involved several different accompanying intra-articular pathologies such as synovitis, anterior tibial spur, loose body, and OLTs. Matsui [16] and Zeng [19], however, enrolled only the patients without intra-articular lesions. To the authors' best knowledge, our comparison is the first study that compared the results between the arthroscopic and the open surgery in patients of lateral ankle instability accompanied by OLTs.…”

“…In our study, the postoperative recovery seemed to be heavily influenced by the healing process of OLT. The patients who underwent only ATFL repair were encouraged to start ROM exercises and partial weight-bearing from the second day after surgery [16,28], while for patients of OLT, the 3rd to the 8th week after surgery is regarded as the remodeling phase of OLT healing. In this period, the mesenchymal cells proliferate and differentiate into chondrocytelike cells, which can produce a matrix containing type II collagens and proteoglycans [29].…”

“…For patients accompanied by OLT, the arthroscopic-assisted Brostrom technique makes concurrent arthroscopic treatment possible. Nevertheless, there are few reports that compared the all-arthroscopic technique with the combined arthroscopic and open treatment in patients of lateral ankle instability accompanied by OLT [15][16][17][18][19]. In view of this, we aimed to test the following hypothesis in the present study: The outcome of all-arthroscopic surgery is no worse than that of the combined open and arthroscopic surgery for treating chronic lateral ankle instability accompanied by OLT.…”

“…More recently, an arthroscopic-assisted Brostrom technique has become increasingly popular [8]. Several comparative studies have demonstrated similar clinical results between the arthroscopic procedure and the open modified Brostrom procedure [15][16][17][18][19]. For patients accompanied by OLT, the arthroscopic-assisted Brostrom technique makes concurrent arthroscopic treatment possible.…”