{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T00:32:58Z","timestamp":1760920378622,"version":"build-2065373602"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Anterior talofibular ligament (ATFL) insufficiency encompasses situations in which (i) frequent sprains cause ATFL loss, as evidenced by ATFL non\u2010visualization on preoperative magnetic resonance imaging; or (ii) minimal healthy ATFL tissue for repair is left after the removal of the large os subfibulare. Suture tape implantation can be indicated for these cases rather than conventional ligament repair. This study was designed to investigate the incidence of post\u2010operative re\u2010sprain in patients who underwent suture tape implantation for ATFL insufficiency, and risk factors influencing the occurrence of post\u2010operative re\u2010sprain were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 68 patients who underwent suture tape implantation for ATFL insufficiency from January 2016 to December 2021 were retrospectively evaluated. The minimum follow\u2010up duration for inclusion was 2 years after surgery. All included patients were divided into two groups according to the presence of post\u2010operative re\u2010sprain during the follow\u2010up period. Multiple clinico\u2010radiographic parameters were measured, and binary logistic regression analysis was performed to determine the factors influencing post\u2010operative re\u2010sprain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Post\u2010operative re\u2010sprain occurred in 19 of the 68 patients (27.9%), and multiple re\u2010sprains persisted in 7 patients (10.3%). Post\u2010operative re\u2010sprain was more likely to occur in patients who smoked after surgery (odds ratio [OR], 3.510), had generalized ligament laxity (OR, 4.364) and engaged in occupations requiring high physical activity levels (OR, 4.421), including soldiers, professional athletes, student\u2010athletes and mailmen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The incidence of multiple post\u2010operative re\u2010sprains was high after suture tape implantation for ATFL insufficiency. Caution is particularly warranted in patients with risk factors, necessitating meticulous attention to their care. Careful consideration of strategies to mitigate risks when performing the surgery is also recommended.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12436","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T04:59:55Z","timestamp":1724734795000},"page":"1136-1146","source":"Crossref","is-referenced-by-count":0,"title":["High incidence of post\u2010operative re\u2010sprain following suture tape implantation for anterior talofibular ligament insufficiency and risk factors for post\u2010operative re\u2010sprain"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3864-9521","authenticated-orcid":false,"given":"Jun Young","family":"Choi","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery Inje University Ilsan Paik Hospital Goyang\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Soo","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Inje University Ilsan Paik Hospital Goyang\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju Hwan","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Inje University Ilsan Paik Hospital Goyang\u2010si Gyeonggi\u2010do South Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tewodros Taye","family":"Asfaw","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery St. Peter's Specialized Hospital Addis Ababa 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