A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair
Purpose: To investigate the clinical effects of arthroscopically artificial ligament reconstruction with tensional remnant-repair in patients who are obese, and/or with demand for highly intensive sports, and/or with poor-quality ligament remnants. Methods: A retrospective case series study was perf...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-11-01
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| Series: | Chinese Journal of Traumatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127523000986 |
| _version_ | 1797401750055944192 |
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| author | Qiu Huang Xiao-Xi Ji Wen-Hui Zhu Ye-Hua Cai Lie-Hu Cao Yong-Cai Wang |
| author_facet | Qiu Huang Xiao-Xi Ji Wen-Hui Zhu Ye-Hua Cai Lie-Hu Cao Yong-Cai Wang |
| author_sort | Qiu Huang |
| collection | DOAJ |
| description | Purpose: To investigate the clinical effects of arthroscopically artificial ligament reconstruction with tensional remnant-repair in patients who are obese, and/or with demand for highly intensive sports, and/or with poor-quality ligament remnants. Methods: A retrospective case series study was performed on patients treated by arthroscopically anterior talofibular ligament (ATFL) reconstruction with tensional remnant repair technique from January 2019 to August 2021. General data, including demographics, surgical time, and postoperative adverse events, were recorded. The American Orthopaedic Foot and Ankle Society score (AOFAS), foot and ankle ability measure (FAAM), visual analog scale (VAS), and anterior talar translation were measured preoperatively and at 6 weeks, 3 months, and 2 years postoperatively. Ultrasonography examination was performed preoperatively and 2 years postoperatively to evaluate the ATFL. Data were analyzed using SPSS 19.0. F test was used to analyze the pre- and postoperative VAS, FAAM, and AOFAS scores. The significance was set at p < 0.05. Results: There were 20 males and 10 females among the patients with a mean age of (30.71 ± 5.81) years. The average surgical time was (40.21 ± 8.59) min. No adverse events were observed after surgery. At 2 years postoperatively, the anterior talar translation test showed grade 0 laxity in all patients. VAS score significantly decreased from preoperatively to 6 weeks, 3 months, and 2 years postoperatively (p < 0.001). Improvement of FAAM score and the AOFAS score from preoperatively to 6 weeks, 3 months, and 2 years postoperatively was statistically significant (p < 0.001). At 3 months postoperatively, most patients (23/30) could return to their pre-injured activities of daily living status. At 2 years postoperatively, all patients were able to return to their pre-injured activities of daily living status, and almost every patient (18/19) who expected highly intensive sports returned to sports with only 1 obese patient failing to achieve the goal. The ultrasonography examination at 2 years postoperatively showed that there was a linear band structure of soft tissue on the tension-rich fiber tape image from the fibular to the talar attachment sits of ATFL. Conclusion: The novel arthroscopically artificial ligament reconstruction with tensional remnant-repair technique for ATFL achieved satisfactory clinical outcomes in the short and medium term after operation, and allowed early return to pre-injured activities, which could be a reliable option for patients with chronic lateral ankle instability. |
| first_indexed | 2024-03-09T02:15:48Z |
| format | Article |
| id | doaj.art-5d975d4e437448da9e8dd1fd88500365 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-03-09T02:15:48Z |
| publishDate | 2023-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-5d975d4e437448da9e8dd1fd885003652023-12-07T05:27:47ZengElsevierChinese Journal of Traumatology1008-12752023-11-01266317322A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repairQiu Huang0Xiao-Xi Ji1Wen-Hui Zhu2Ye-Hua Cai3Lie-Hu Cao4Yong-Cai Wang5Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China; Department of Joint Surgery, People's Hospital of Leshan, Leshan, Sichuan province, 614000, ChinaDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, ChinaDepartment of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200040, China; Corresponding author.Department of Ultrasound, Huashan Hospital, Fudan University, Shanghai, 200040, ChinaDepartment of Orthopedics, Shanghai Baoshan Luodian Hospital, Shanghai, 200000, ChinaDepartment of Joint Surgery, People's Hospital of Leshan, Leshan, Sichuan province, 614000, ChinaPurpose: To investigate the clinical effects of arthroscopically artificial ligament reconstruction with tensional remnant-repair in patients who are obese, and/or with demand for highly intensive sports, and/or with poor-quality ligament remnants. Methods: A retrospective case series study was performed on patients treated by arthroscopically anterior talofibular ligament (ATFL) reconstruction with tensional remnant repair technique from January 2019 to August 2021. General data, including demographics, surgical time, and postoperative adverse events, were recorded. The American Orthopaedic Foot and Ankle Society score (AOFAS), foot and ankle ability measure (FAAM), visual analog scale (VAS), and anterior talar translation were measured preoperatively and at 6 weeks, 3 months, and 2 years postoperatively. Ultrasonography examination was performed preoperatively and 2 years postoperatively to evaluate the ATFL. Data were analyzed using SPSS 19.0. F test was used to analyze the pre- and postoperative VAS, FAAM, and AOFAS scores. The significance was set at p < 0.05. Results: There were 20 males and 10 females among the patients with a mean age of (30.71 ± 5.81) years. The average surgical time was (40.21 ± 8.59) min. No adverse events were observed after surgery. At 2 years postoperatively, the anterior talar translation test showed grade 0 laxity in all patients. VAS score significantly decreased from preoperatively to 6 weeks, 3 months, and 2 years postoperatively (p < 0.001). Improvement of FAAM score and the AOFAS score from preoperatively to 6 weeks, 3 months, and 2 years postoperatively was statistically significant (p < 0.001). At 3 months postoperatively, most patients (23/30) could return to their pre-injured activities of daily living status. At 2 years postoperatively, all patients were able to return to their pre-injured activities of daily living status, and almost every patient (18/19) who expected highly intensive sports returned to sports with only 1 obese patient failing to achieve the goal. The ultrasonography examination at 2 years postoperatively showed that there was a linear band structure of soft tissue on the tension-rich fiber tape image from the fibular to the talar attachment sits of ATFL. Conclusion: The novel arthroscopically artificial ligament reconstruction with tensional remnant-repair technique for ATFL achieved satisfactory clinical outcomes in the short and medium term after operation, and allowed early return to pre-injured activities, which could be a reliable option for patients with chronic lateral ankle instability.http://www.sciencedirect.com/science/article/pii/S1008127523000986Chronic lateral ankle instabilityAnterior talofibular ligamentArtificial ligament reconstructionRepair |
| spellingShingle | Qiu Huang Xiao-Xi Ji Wen-Hui Zhu Ye-Hua Cai Lie-Hu Cao Yong-Cai Wang A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair Chinese Journal of Traumatology Chronic lateral ankle instability Anterior talofibular ligament Artificial ligament reconstruction Repair |
| title | A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair |
| title_full | A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair |
| title_fullStr | A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair |
| title_full_unstemmed | A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair |
| title_short | A new method of anterior talofibular ligament reconstruction: Arthroscopically artificial ligament reconstruction with tensional remnant-repair |
| title_sort | new method of anterior talofibular ligament reconstruction arthroscopically artificial ligament reconstruction with tensional remnant repair |
| topic | Chronic lateral ankle instability Anterior talofibular ligament Artificial ligament reconstruction Repair |
| url | http://www.sciencedirect.com/science/article/pii/S1008127523000986 |
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