{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:28:37Z","timestamp":1792106917663,"version":"4.4.0"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"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":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Arthroscopic ligament repair is a standard treatment for chronic ankle instability (CAI). In patients with risk factors for failure, isolated repair (ILR) may be insufficient and augmentation techniques have been proposed. This study compared ILR with suture tape\u2013augmented repair (LR\u2009+\u2009STA), hypothesizing comparable outcomes in higher\u2010risk patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective, indication\u2010based cohort study, all patients who underwent arthroscopic treatment for CAI between 2019 and 2022 were included. Patients were allocated to two groups: Group A underwent ILR, and Group B underwent LR\u2009+\u2009STA due to pivoting\u2010sport participation, generalized ligamentous laxity or poor\u2010quality remnant ligament. Clinical evaluation was performed preoperatively and at 3, 6, 12 and 24 months using the Foot Function Index (FFI), visual analogue scale (VAS) and Foot and Ankle Ability Measure\u2013Sports Subscale (FAAM\u2010SS). Return to daily activities (RTD), work (RTW), sport (RTS) and complications were recorded at final follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 105 patients (mean age 30.8\u2009\u00b1\u200914.5 years) were included: 44 in Group A and 61 in Group B. Both groups demonstrated significant improvements in all clinical outcomes from baseline to final follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). At 2 years, no significant between\u2010group differences were observed in VAS (1.2\u2009\u00b1\u20091.7 vs. 0.7\u2009\u00b1\u20091.0; 95% confidence interval [CI]: \u20131.6; 0.6), FFI (9.7\u2009\u00b1\u200913.5 vs. 5.7\u2009\u00b1\u20097.6; 95% CI \u201312.7; 4.7) or FAAM\u2010SS (86.6\u2009\u00b1\u200920.9 vs. 90.5\u2009\u00b1\u200912.9; 95% CI: \u20139.9; 17.5). No major complications or recurrences of instability occurred. RTS was significantly earlier in Group B (12 vs. 20 weeks,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), while RTD and RTW showed no significant differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both isolated repair and suture tape\u2010augmented repair achieved excellent outcomes with no significant differences at 2 years. Despite being performed in patients with higher functional demands or greater failure risk, suture tape\u2010augmented repair demonstrated similar complication rates, no recurrence of instability and an earlier RTS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70308","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T13:41:55Z","timestamp":1770385315000},"page":"1442-1451","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Suture tape augmentation in arthroscopic lateral ligament repair for chronic ankle instability yields similar clinical outcomes but faster return to sport compared to isolated repair"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7682-0422","authenticated-orcid":false,"given":"Pierre\u2010Henri","family":"Vermorel","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University Hospital Centre of Saint\u2010\u00c9tienne Saint\u2010\u00c9tienne France"},{"name":"Universit\u00e9 Jean Monnet Saint\u2010Etienne, CHU Saint\u2010Etienne, Lyon 1, Universit\u00e9 Savoie Mont\u2010Blanc, Laboratoire Interuniversitaire de Biologie de la Motricit\u00e9 Saint\u2010Etienne France"},{"name":"Clinica Salus Policlinico di Monza Alessandria Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2762-8845","authenticated-orcid":false,"given":"Jordi","family":"Vega","sequence":"additional","affiliation":[{"name":"Foot and Ankle Unit iMove Traumatology Barcelona Spain"},{"name":"MIFAS by Grecmip Merignac France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0671-4648","authenticated-orcid":false,"given":"Matteo","family":"Guelfi","sequence":"additional","affiliation":[{"name":"Clinica Salus Policlinico di Monza Alessandria Italy"},{"name":"MIFAS by Grecmip Merignac France"},{"name":"Casa di Cura Villa Montallegro Genoa Italy"},{"name":"J Medical Turin 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