Fully Intra-articular Lasso-Loop Stitch Technique for Arthroscopic Anterior Talofibular Ligament Repair

Qin, Jiajun; Fu, Qiang; Zhou, Qing; Wu, Helin; Zhi, Xiaosong; Xu, Feng; Cai, Xianhua; Wei, Shijun

doi:10.1177/10711007211044442

Cited by 8 publications

(14 citation statements)

References 25 publications

(43 reference statements)

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“…Cordier et al described the all-arthroscopic Broström-Gould technique using an automatic suture passer, excellent clinical results were observed with a median follow-up time of 28 months while only one case required a revision surgery [ 11 ]. According to previous studies, grade-1 and most grade-2 ATFL lesions only reattachment surgery was required without IER augmentation [ 9 , 17 , 26 ]. Actually, for grade-3 ATFL lesions and some high-level athletes with grade-2 ATFL lesions could be reinforced with IER.…”

Section: Discussionmentioning

confidence: 99%

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Arthro-Broström with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques

Yang

Han

et al. 2022

BMC Musculoskelet Disord

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Background There is still some controversy about the augmentation of the inferior extensor retinaculum after arthroscopic anterior talofibular ligament repair. The aim of this study was to evaluate the novel arthro-Broström procedure with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques for chronic lateral ankle instability. Methods Thirty-four cases with grade-2 or grade-3 chronic anterior talofibular ligament lesions who underwent the novel arthro-Broström procedure with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques were assessed retrospectively. A total of 30 cases (30 ankles) were followed up for a mean of 26.67 ± 4.19 months (range, 24—36 months). four cases were excluded due to insufficient medical records or loss of follow-up reports. The Cumberland Ankle Instability Tool scores, The Karlsson-Peterson scores and Visual Analogue Scale scores were evaluated before surgery and at the final follow-up time. Also, the results of stress fluoroscopic tests and complications were recorded. Results At the final follow-up, the average of the Cumberland Ankle Instability Tool scores, The Karlsson-Peterson scores and Visual Analogue Scale scores were 86.63 ± 6.69 (range, 77—100), 90.17 ± 4.64 (range, 85—100) and 0.53 ± 0.63 (range, 0—2), respectively. Moreover, the results of stress fluoroscopic tests were improved significantly after surgery. Mild keloid formation and/or knot irritation were observed in four cases. No wound infections, nerve injuries and recurrent instability were recorded. Also, no stiffness or arthritis of the subtalar joint was encountered. Conclusions The arthro-Broström procedure combined with endoscopic retinaculum augmentation using all-inside lasso-loop techniques is reliable and safe due to the advantage of direct endoscopic visualization.

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Section: Discussionmentioning

confidence: 99%

“…The all-inside lasso-loop stitch technique was performed for the torn ATFL talar remnant, which was described previously [ 17 ]. Firstly, the ankle was placed in neutral position by the assistant, then the modified anteromedial (AM) portal was established (Fig.…”

Section: Methodsmentioning

confidence: 99%

Arthro-Broström with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques

Yang

Han

et al. 2022

BMC Musculoskelet Disord

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“…Cordier et al described the allarthroscopic Broström-Gould technique using an automatic suture passer, excellent clinical results were observed with a median follow-up time of 28 months while only one case required a revision surgery [11]. According to previous studies, type-1 and most type-2 ATFL lesions only reattachment surgery was required without IER augmentation [9,25,26]. Actually, for type-3 ATFL lesions and some high-level athletes with type-2 ATFL lesions could be reinforced with IER.…”

Section: Discussionmentioning

confidence: 99%

Arthro-Broström with Endoscopic Retinaculum Augmentation using All-inside Lasso-loop Stitch Techniques

Yang

Han

et al. 2022

Preprint

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Background: There is still controversy about the augmentation of the inferior extensor retinaculum (IER) after arthroscopic anterior talofibular ligament (ATFL) repair. The aim of this study was to evaluate the arthro-Broström procedure with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques for chronic lateral ankle instability. Methods: Thirty-four cases with type-2 or type-3 chronic ATFL lesions who underwent the arthro-Broström procedure with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques were assessed retrospectively. A total of 30 cases (30 ankles) were followed up for a mean of 26.67 ± 4.19 months (range, 24 - 36 months). Five cases were excluded due to insufficient medical records or loss of follow-up reports. The Cumberland Ankle Instability Tool (CAIT) scores, The Karlsson-Peterson scores and Visual Analogue Scale (VAS) scores were evaluated before surgery and at the final follow-up time. Also, the results of stress fluoroscopic tests and complications were recorded. Results: At the final follow-up, the average of the Cumberland Ankle Instability Tool (CAIT) scores, The Karlsson-Peterson scores and VAS scores were 86.63 ± 6.69 (range, 77 - 100), 90.17 ± 4.64 (range, 85 - 100) and 0.53 ± 0.63 (range, 0 - 2), respectively. Moreover, the results of stress fluoroscopic tests were improved significantly after surgery. Mild keloid formation and/or knot irritation were observed in four cases. No wound infections, nerve injuries and recurrent instability were recorded. Also, no stiffness or arthritis of the subtalar joint was encountered. Conclusions: The arthro-Broström procedure combined with endoscopic retinaculum augmentation using all-inside lasso-loop techniques is reliable and safe due to satisfactory clinical results and avoiding nerve injuries.

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“…Comparable results could be obtained after arthroscopic ATFL repair with or without augmentation. Qin et al [18] performed an all-inside intra-articular lasso-loop stitch technique for ATFL repair in 39 patients, who were followed up for a mean of 28.23 months. The KAFS score improved to 90.26, and lasso-loop stitch technique proved to be a reliable procedure for ATFL repair.…”

Section: Discussionmentioning

confidence: 99%

“…Arthroscopic surgical procedures are however more technically challenging, and different suture configurations are in use. To date, loop suture and free-edge suture configurations are both used for arthroscopic ATFL repair [10 , 18] . However, there are few publications addressing the issue of differences in functional results between the use of loop suture and free-edge suture.…”

Section: Introductionmentioning

confidence: 99%

Functional outcomes of all-inside arthroscopic anterior talofibular ligament repair with loop suture versus free-edge suture

et al. 2022

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Background Anatomic repair of anterior talofibular ligament (ATFL) is used to manage chronic lateral ankle instability (CLAI). However, the optimal suture configuration used to repair the ATFL is not yet determined. It remains unclear whether suture configuration affects clinical outcomes in such patients. Purpose To compare the functional outcomes of all-inside arthroscopic ATFL repair using either a loop suture and or a free-edge suture configuration in CLAI patients. Study Design Cohort study; Level of evidence, 3. Methods This retrospective cohort study included 71 patients with CLAI who had undergone an all-inside arthroscopic ATFL repair procedure with either loop suture (n = 36) or free-edge suture (n = 35) from February 2016 to July 2018. Comparable pre-operatively, the Visual analogy score (VAS), American Orthopedic Foot and Ankle Society scoring system (AOFAS), Karlsson Ankle Functional Score (KAFS) scoring system, Anterior Talar Translation (ATT) and Active Joint Position Sense (AJPS) were used to evaluate postoperative ankle function. Results There were no postoperative wound complications, implant reactions, or neurological or vascular injuries. Postoperative hospitalization, VAS, AOFAS, KAFS, AJPS and the time of return to sport were similar between the loop suture group and free-edge suture group. Requiring a longer procedure time, patients with loop suture configuration achieved better ATT. Conclusion All-inside arthroscopic ATFL repair procedure for CLAI treatment provides better ATT and comparable functional outcomes when a loop suture configuration is used instead of a free-edge suture configuration. A statistical difference in ATT was observed. Given the relatively short follow-up, it is questionable whether this will have any clinical relevance.

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Fully Intra-articular Lasso-Loop Stitch Technique for Arthroscopic Anterior Talofibular Ligament Repair

Cited by 8 publications

References 25 publications

Arthro-Broström with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques

Arthro-Broström with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques

Arthro-Broström with Endoscopic Retinaculum Augmentation using All-inside Lasso-loop Stitch Techniques

Functional outcomes of all-inside arthroscopic anterior talofibular ligament repair with loop suture versus free-edge suture

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