{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:23:14Z","timestamp":1792192994190,"version":"4.4.0"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare clinical function after knot anchor versus knotless anchor repair of the anterior talofibular ligament (ATFL) in patients with chronic lateral ankle instability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All patients who underwent arthroscopic surgical ATFL repair using knot or knotless suture anchors were included in this study. Functional scores (American Orthopedic Foot and Ankle Society (AOFAS), Karlsson score and Tegner activity scores) and magnetic resonance imaging (MRI) were used to evaluate the ankle with a follow\u2010up of at least 2 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 52 patients with chronic ankle instability were included in this study. Among these patients, 23 patients underwent one knot anchor repair procedure (Group A), and the other 29 patients underwent one knotless anchor repair procedure (Group B). At the final follow\u2010up, there were no significant differences between Group A and Group B regarding the AOFAS score (89\u2009\u00b1\u20099 vs 84\u2009\u00b1\u200911; ns), Karlsson score (82\u2009\u00b1\u200914 vs 75\u2009\u00b1\u200918; ns), or Tegner activity score (4\u2009\u00b1\u20091 vs 4\u2009\u00b1\u20092; ns). There also were no significant differences in the mean ATFL signal\u2013noise ratio (SNR) value (7.5\u2009\u00b1\u20094.4 vs 7.3\u2009\u00b1\u20092.9; ns) or ATFL angle (82\u00b0\u2009\u00b1\u20097\u00b0 vs 84\u00b0\u2009\u00b1\u20099\u00b0; ns) between the groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When compared with knot repair, knotless repair of the lateral ankle ligament produced similar functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-05998-3","type":"journal-article","created":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T13:02:38Z","timestamp":1587560558000},"page":"3987-3993","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Knotless anchor repair produced similarly favourable outcomes as knot anchor repair for anterior talofibular ligament repair"],"prefix":"10.1002","volume":"28","author":[{"given":"Hong","family":"Li","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Sports Medicine Huashan Hospital No. 12, Wulumuqi Zhong Road 200040 Shanghai People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Zhao","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Department of Nursing Huashan Hospital Shanghai People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinghui","family":"Hua","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Sports Medicine Huashan Hospital No. 12, Wulumuqi Zhong Road 200040 Shanghai People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qianru","family":"Li","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Sports Medicine Huashan 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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written consent was obtained from all participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}