{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T21:59:49Z","timestamp":1793311189742,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The literature on elite athletes\u2019 ability to return to sports (RTS) after early lateral ligament repair of the ankle remains inadequate. The time needed to RTS after modified Brostr\u00f6m repair for acute grade III lateral ligament injuries in a large cohort of elite athletes was evaluated while assessing the impact of other associated injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective data from 147 elite athletes who underwent a primary lateral ligament repair for acute grade III injuries with clinical ankle instability from 2015 to 2019 with a minimum of 2\u2010year follow\u2010up were reviewed. Pertinent details such as characteristics of injury, time taken to RTS, impact of associated injuries on RTS and complications were recorded and analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average age was 24.4 years (S.D\u2009=\u20094.9) with 89.1% males. Approximately two\u2010thirds of the elite athletes were football players (66.0%) and 21.1% were rugby players. Isolated lateral ligament complex injuries were sustained by 122 (83%) patients, while 25 (17%) had associated injuries (osteochondral lesions of the talus\/deltoid injury\/syndesmosis injury). All 147 athletes returned to their preinjury level of sports with a median time of 69\u00a0days (range 58\u2013132\u00a0days). There was no significant difference found in time to RTS between gender, age, and types of sports. However, there was a statistically significant difference noted in the time taken to RTS earlier in patients with isolated lateral ligament injuries when compared to those with associated injuries (68.6 vs. 82.8\u00a0days; <jats:italic>p<\/jats:italic>\u2009=\u20090.004). Multiple conditional linear regression yielded three independent predictors of longer time taken to RTS which were associated deltoid injury (7.5\u00a0days longer; 95% CI 2.9\u201312.3; <jats:italic>p<\/jats:italic>\u2009=\u20090.002), associated syndesmosis injury (6.7\u00a0days longer; 95% CI 0.5\u201312.8; <jats:italic>p<\/jats:italic>\u2009=\u20090.034) and associated OLT (30.3\u00a0days longer; 95% CI 25.1\u201335.5; <jats:italic>p<\/jats:italic>\u2009=\u20090.000).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early surgical repair for acute grade III lateral ligament injuries in elite athletes yielded excellent rate of RTS at 9\u201310 weeks and a re\u2010injury rate of 2%. Concomitant injuries will delay RTS after surgical intervention. These findings serve as important guide to managing elite athletes following acute rupture of the lateral ligament complex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-07270-2","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T11:10:58Z","timestamp":1670497858000},"page":"4519-4525","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Ability to return to sports after early lateral ligament repair of the ankle in 147 elite athletes"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0309-8096","authenticated-orcid":false,"given":"Choon Chiet","family":"Hong","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Fortius Clinic (FIFA Medical Centre of Excellence) 17 Fitzhardinge Street W1H 6EQ London UK"},{"name":"<!--<label>3<\/label>--> Department of Orthopaedic Surgery National University Hospital of Singapore 1E, Kent Ridge Road 119228 Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Calder","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Fortius Clinic (FIFA Medical Centre of Excellence) 17 Fitzhardinge Street W1H 6EQ London UK"},{"name":"<!--<label>2<\/label>--> Department of Bioengineering Imperial College London SW7 2AZ London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"issue":"3","key":"e_1_2_11_2_2","first-page":"381","article-title":"Ankle injuries among United States high school sports athletes, 2005\u20132006","volume":"42","author":"Nelson AJ","year":"2007","journal-title":"J Athl Train"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512454840"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010012\u20102252\u20107"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509350757"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2007.11.018"},{"key":"e_1_2_11_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.3.233"},{"key":"e_1_2_11_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178\u2010020\u201009631\u20101"},{"key":"e_1_2_11_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s43465\u2010021\u201000532\u20100"},{"key":"e_1_2_11_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2013.10.009"},{"key":"e_1_2_11_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/jisakos\u20102016\u2010000064"},{"key":"e_1_2_11_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102012\u2010091493"},{"key":"e_1_2_11_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000380.pub2"},{"key":"e_1_2_11_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fcl.2013.02.003"},{"key":"e_1_2_11_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010016\u20104051\u2010z"},{"key":"e_1_2_11_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010015\u20103815\u20101"},{"key":"e_1_2_11_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110079801901002"},{"key":"e_1_2_11_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514529643"},{"key":"e_1_2_11_19_2","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2019.11.1.126"},{"key":"e_1_2_11_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010021\u201006496\u2010w"},{"key":"e_1_2_11_21_2","unstructured":"Post hoc power calculator. 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James Calder received remuneration for speaking in educational programme by Arthrex unrelated to this study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Institutional approval to undertake this study was provided in line with the UK Health Research Authority guidance with a waiver of consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"A waiver of consent was provided by institutional approval.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}