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Войти в исследования Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons · 2026
Combined multi-ligament instability in patients with chronic symptoms following rotational ankle injuries. A prospective cohort study.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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de Cesar Netto Cesar, Casas Erik Jesus Huanuco, Fayed Aly, Carvalho Kepler, O'Neil Conor, Pozzessere Enrico, Mansur Nacime Salomao Barbachan
Аннотация
PURPOSE: To prospectively quantify isolated versus combined ligamentous instability in symptomatic patients after rotational ankle injuries (RAI) and assess changes in patient-reported outcomes (PROs) after targeted surgical stabilization.
METHODS: Adults with pain and/or subjective instability > 6 months after RAI who failed nonoperative care were enrolled. All underwent diagnostic ankle arthroscopy and open stabilization based on standardized intraoperative criteria for lateral, syndesmotic, and deep deltoid instability; combined patterns were classified. PROs and complications were recorded.
RESULTS: Twenty-nine patients (30 ankles; 36.1 years, BMI 31.2 kg/m2) after RAI were included, mean 45.2-month follow-up. Instability patterns were multidirectional (lateral/deltoid/syndesmotic) in 60%, rotational (lateral/deltoid) in 20%, anterolateral (lateral/syndesmotic) in 13%, and anteromedial (deltoid/syndesmotic) in 3.5%; isolated lateral occurred in 3.5%. Collected PROs showed improvement (ps<0.04) and three complications occurred (10%).
CONCLUSION: In symptomatic patients after RAI, multi-ligament ankle instability predominated, most commonly multidirectional or rotational patterns. Intraoperative-guided comprehensive stabilization yielded PRO improvements with a low complication rate.
STUDY DESIGN: Level II. Prospective cohort study.
METHODS: Adults with pain and/or subjective instability > 6 months after RAI who failed nonoperative care were enrolled. All underwent diagnostic ankle arthroscopy and open stabilization based on standardized intraoperative criteria for lateral, syndesmotic, and deep deltoid instability; combined patterns were classified. PROs and complications were recorded.
RESULTS: Twenty-nine patients (30 ankles; 36.1 years, BMI 31.2 kg/m2) after RAI were included, mean 45.2-month follow-up. Instability patterns were multidirectional (lateral/deltoid/syndesmotic) in 60%, rotational (lateral/deltoid) in 20%, anterolateral (lateral/syndesmotic) in 13%, and anteromedial (deltoid/syndesmotic) in 3.5%; isolated lateral occurred in 3.5%. Collected PROs showed improvement (ps<0.04) and three complications occurred (10%).
CONCLUSION: In symptomatic patients after RAI, multi-ligament ankle instability predominated, most commonly multidirectional or rotational patterns. Intraoperative-guided comprehensive stabilization yielded PRO improvements with a low complication rate.
STUDY DESIGN: Level II. Prospective cohort study.