{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T12:11:10Z","timestamp":1775391070563,"version":"3.50.1"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"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>Chronic lateral ankle instability (CLAI) often follows repeated sprains and may require surgery when conservative treatment fails. While the anterior talofibular ligament (ATFL) is most commonly injured, the impact of a concomitant calcaneofibular ligament (CFL) rupture on surgical outcomes remains unclear. The purpose of this study is to compare 5\u2010year clinical and functional results of All Inside Endoscopic Brostr\u00f6m\u2010Gould (BG) according to the presence or absence of a CFL rupture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients who underwent All Inside Endoscopic BG for ATFL rupture between January 2018 and December 2019 were included and divided into two groups based on preoperative ultrasound: intact CFL (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200942) or ruptured CFL (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200988). Outcome measures included failure rate (revision surgery, persistent instability or pain), patient satisfaction (0\u201310), Simple Foot and Ankle Value (SFAV), Karlsson score, American Orthopaedic Foot and Ankle Society (AOFAS) score and Ankle Activity Score (AAS). Minimum follow\u2010up was 5 years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      High patient satisfaction was observed in both groups (mean 8.2\/10 in the intact and ruptured CFL groups), with comparable functional outcomes. The ruptured CFL group had slightly higher failure (22% vs. 19%) and recurrent instability rates (18% vs. 13%), though not significant. Return\u2010to\u2010work rates were similar (92%), but return to pre\u2010injury sports level was significantly lower with CFL rupture (59% vs. 80%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The All Inside Endoscopic BG yields excellent clinical and functional outcomes in the treatment of CLAI, regardless of associated CFL injury. However, complete CFL rupture appears to reduce the likelihood of returning to the same level of sports activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, prospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70358","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:19:43Z","timestamp":1772983183000},"page":"1464-1472","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["CFL rupture is a negative prognostic factor for return to sport after endoscopic Brostr\u00f6m\u2010Gould"],"prefix":"10.1002","volume":"34","author":[{"given":"Fabien","family":"Baudelle","sequence":"first","affiliation":[{"name":"CHU de Bordeaux Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jordi","family":"Vega","sequence":"additional","affiliation":[{"name":"MIFAS by Grecmip Merignac France"},{"name":"ESSKA\u2010AFAS Luxembourg City Luxembourg"},{"name":"iMove Sports Barcelona Spain"},{"name":"Olympia Madrid Spain"},{"name":"Tarmeem Orthopedic and Spine Specialty Hospital Abu Dhabi UAE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7035-3931","authenticated-orcid":false,"given":"Guillaume","family":"Cordier","sequence":"additional","affiliation":[{"name":"MIFAS by Grecmip Merignac France"},{"name":"ESSKA\u2010AFAS Luxembourg City Luxembourg"},{"name":"Clinique du Sport Vivalto Sant\u00e9 Merignac France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-018-2152-8"},{"issue":"11","key":"e_1_2_11_3_1","article-title":"A comparative analysis of complication rates in arthroscopic repair of the lateral ankle ligament and the Brostrom\u2010Gould technique: a systematic review","volume":"15","author":"Alhaddad A","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2021.12.026"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-020-07305-7"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.06.001"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2010.04.003"},{"issue":"5","key":"e_1_2_11_8_1","first-page":"551","article-title":"Sprained ankles. 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