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At 63.7\u2009\u00b1\u200928.0\u00a0months (24\u2013112), 23 patients with a mean age of 29.7\u2009\u00b1\u200910.9 years were available for follow\u2010up. The Karlsson Score, the Foot and Ankle Outcome Score (FAOS), the Tegner Activity Scale and the visual analog scale (VAS) for pain were collected at a minimum follow\u2010up of 24\u00a0months. RTS and RTW were evaluated by questionnaire. A subgroup analysis with regard to the graft used for ankle ligament reconstruction (GT versus PBT) was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients reported a Karlsson score of 82.1\u2009\u00b1\u200917.5 (37\u2013100), a FAOS score of 87.8\u2009\u00b1\u20098.4 (73\u201399), a median Tegner activity scale of 5.0 (IQR 4\u20136) and a VAS for pain of 0.5\u2009\u00b1\u20090.9 (0\u20134) at rest and of 2.0\u2009\u00b1\u20092.1 (0\u20137) during activities at final follow\u2010up. Postoperatively, 96% of patients had returned to sports after 8.3\u2009\u00b1\u20096.2\u00a0months. All patients (100%) had returned to work at 3.5\u2009\u00b1\u20095.7 (0\u201324) months, with 87% reporting an equal or improved working ability compared to that preoperatively. Postoperatively, exercise hours per week were significantly reduced compared to preoperatively in patients with a split PBT (<jats:italic>n<\/jats:italic>\u2009=\u200912; 13.0\u2009\u00b1\u200912.9 to 5.6\u2009\u00b1\u20096.4 h, <jats:italic>p<\/jats:italic>\u2009=\u20090.038) autograft as opposed to patients with a GT autograft (<jats:italic>n<\/jats:italic>\u2009=\u200911; 13.1\u2009\u00b1\u20098.7 to 12.4\u2009\u00b1\u20097.1 h, n.s.). No other group differences were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Good patient\u2010reported outcomes as well as excellent RTS and RTW rates can be achieved in high\u2010risk patients undergoing ankle ligament reconstruction with a tendon autograft for CLAI. These results may be helpful in preoperatively managing patients\u2019 expectations regarding sports\u2010 and work\u2010related outcomes and provide tangible data on the expectable time frame of the individual return to sports and work trajectory.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-06937-0","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T06:03:51Z","timestamp":1648706631000},"page":"3862-3870","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["High return to sports and return to work rates after anatomic lateral ankle ligament reconstruction with tendon autograft for isolated chronic lateral ankle instability"],"prefix":"10.1002","volume":"30","author":[{"given":"Marco\u2010Christopher","family":"Rupp","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> 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Winkler; Maximilian Hinz; Yannick J. Ehmann; Jonas Pogorzelski; Alexander Themessl report no conflict of interest. Andreas B. Imhoff is a consultant for Arthrosurface and Medi Bayreuth and receives royalties from Arthrex and Arthrosurface.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Ethical approval was obtained from the Ethics Committee of the Technical University Munich (IRB Nr. 262\/20 S). All procedures performed were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Participants gave valid consent to participate.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}