Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons · 2024
Results of arthroscopic lateral ligament repair according to the arthroscopic classification of anterior talofibular ligament remnants.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Park Kwang Hwan, Shim Dong Woo, Lee Jin Woo, Kim Hak Jun, Shin Gi Jun, Choi Gi Won
Аннотация
BACKGROUND: This study aimed to compare the clinical and radiologic outcomes among grades according to the arthroscopic classification of chronic ATFL lesions after arthroscopic lateral ligament repair.
METHODS: We retrospectively analyzed 135 patients with chronic lateral ankle instability who underwent arthroscopic lateral ligament repair at 3 institutions between 2018 and 2020. The patients were divided into four groups according to the arthroscopic classification of the ATFL remnants. The Karlsson ankle functional score (KAFS) and foot and ankle outcome score (FAOS) were evaluated preoperatively and at the last follow-up. On stress radiographs, the talar tilt and anterior talar translation were measured preoperatively and at the last follow-up.
RESULTS: Of the 135 included patients, 41 (30.4 %), 42 (31.1 %), 34 (25.2 %), and 18 (13.3 %) were in groups 1, 2, 3, and 4, respectively. There were no significant differences among the groups with respect to the preoperative patient characteristics, except for concomitant injuries. The mean KAFS and FAOS improved significantly at the last follow-up in all groups; however, no significant differences occurred among the groups in any scores preoperatively or at the last follow-up. The mean talar tilt and anterior talar translation decreased significantly at the last follow-up in all the groups. Group 1 exhibited significantly less preoperative talar tilt than that in the other groups (P < .001). However, no significant difference occurred in talar tilt among the groups at the last follow-up. There were no differences among the groups in the preoperative anterior talar translation or values at the last follow-up.
CONCLUSIONS: The present study demonstrated that arthroscopic lateral ligament repair showed good functional and stress radiographic outcomes regardless of the quality of ATFL remnant.
METHODS: We retrospectively analyzed 135 patients with chronic lateral ankle instability who underwent arthroscopic lateral ligament repair at 3 institutions between 2018 and 2020. The patients were divided into four groups according to the arthroscopic classification of the ATFL remnants. The Karlsson ankle functional score (KAFS) and foot and ankle outcome score (FAOS) were evaluated preoperatively and at the last follow-up. On stress radiographs, the talar tilt and anterior talar translation were measured preoperatively and at the last follow-up.
RESULTS: Of the 135 included patients, 41 (30.4 %), 42 (31.1 %), 34 (25.2 %), and 18 (13.3 %) were in groups 1, 2, 3, and 4, respectively. There were no significant differences among the groups with respect to the preoperative patient characteristics, except for concomitant injuries. The mean KAFS and FAOS improved significantly at the last follow-up in all groups; however, no significant differences occurred among the groups in any scores preoperatively or at the last follow-up. The mean talar tilt and anterior talar translation decreased significantly at the last follow-up in all the groups. Group 1 exhibited significantly less preoperative talar tilt than that in the other groups (P < .001). However, no significant difference occurred in talar tilt among the groups at the last follow-up. There were no differences among the groups in the preoperative anterior talar translation or values at the last follow-up.
CONCLUSIONS: The present study demonstrated that arthroscopic lateral ligament repair showed good functional and stress radiographic outcomes regardless of the quality of ATFL remnant.