{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:41:53Z","timestamp":1792622513003,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J. exp. orthop."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To describe the longitudinal evolution of the Cumberland Ankle Instability Tool (CAIT) after arthroscopic anatomic lateral ligament reconstruction (AALR) and examine associations between CAIT\u2010defined patient\u2010perceived stability, return to sport (RTS) and preoperative factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective single\u2010centre cohort included 134 athletic patients who underwent AALR between January 2019 and January 2023 and had at least 12 months of follow\u2010up. CAIT was assessed preoperatively and at 3, 6 and 12 months. Patient\u2010perceived stability was defined as CAIT\u2009\u2265\u200924. Repeated continuous and binary outcomes were assessed using paired\u2010data methods. RTS was defined as self\u2010reported resumption of sport by 12 months, irrespective of level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median CAIT increased from 8 preoperatively to 23, 26 and 28 at 3, 6 and 12 months, respectively (overall\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). CAIT\u2010defined stability increased from 5\/134 (3.7%) preoperatively to 55\/134 (41.0%), 91\/134 (67.9%) and 96\/134 (71.6%) at 3, 6 and 12 months (overall\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Most improvement occurred by 6 months. Overall, 112 patients (83.6%) reported RTS by 12 months. Higher CAIT at 3, 6 and 12 months was associated with RTS. In exploratory multivariable analysis, preoperative ankle ligament reconstruction\u2010return to sport after injury was positively associated with 12\u2010month CAIT\u2010defined stability (odds ratio [OR]: 1.02, 95% confidence interval [CI]: 1.00\u20131.04;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.043), whereas nonpivot sport was negatively associated compared with pivot\u2010contact sport (OR: 0.27, 95% CI: 0.09\u20130.75;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.014). Four patients (3.0%) underwent fibular button removal.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patient\u2010reported ankle function measured by CAIT improved during the first postoperative year after AALR, with the largest change occurring by 6 months. CAIT may complement, but should not replace, objective examination and multidimensional RTS assessment. The identified associations are exploratory and require prospective validation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jeo2.70952","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:27:11Z","timestamp":1792078031000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient\u2010reported evolution of the Cumberland Ankle Instability Tool after arthroscopic anatomic lateral ligament reconstruction: A retrospective study of 134 cases"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2136-157X","authenticated-orcid":false,"given":"Ibrahim","family":"Saliba","sequence":"first","affiliation":[{"name":"Orthopedic Surgery Department Necker hospital  Paris 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