{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T22:00:00Z","timestamp":1793311200871,"version":"4.5.0"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T00:00:00Z","timestamp":1676937600000},"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":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>All\u2010inside anterior talofibular ligament (ATFL) repair using anchors is frequently used to manage chronic lateral ankle instability (CLAI) with satisfactory functional outcomes. It remains unclear whether there are differences in the functional results between the use of one or two double\u2010loaded anchors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study included 59 CLAI patients who underwent an all\u2010inside arthroscopic ATFL repair procedure from 2017 to 2019. Patients were divided into two groups according to the number of anchors used. In the one\u2010anchor group (<jats:italic>n<\/jats:italic>\u2009=\u200932), the ATFL was repaired with one double\u2010loaded suture anchor. In the two\u2010anchors group (<jats:italic>n<\/jats:italic>\u2009=\u200927), the ATFL was repaired with two double\u2010loaded suture anchors. At the last follow\u2010up time point, the Visual Analogue Scale (VAS) scores, American Orthopedic Foot and Ankle Society (AOFAS) scores, Karlsson Ankle Function Score (KAFS), Anterior Talar Translation (ATT), Active Joint Position Sense (AJPS), and the rate of return to sports in both groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All the patients were followed up for at least 24\u00a0months. Improvement in the functional results (VAS, AOFAS, KAFS, ATT, and AJPS) were recorded at the final follow\u2010up time point. No significant differences were observed regarding VAS, AOFAS, KAFS, ATT, and AJPS between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In patients with CLAI undergoing all\u2010inside arthroscopic ATFL repair, the use of either one or two double\u2010loaded suture anchors produces comparable and predictably good functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level III.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07348-5","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T16:52:47Z","timestamp":1676998367000},"page":"3500-3508","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["One double\u2010loaded suture anchor is sufficient for all\u2010inside arthroscopic anterior talofibular ligament repair"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0815-2426","authenticated-orcid":false,"given":"Shi\u2010Ming","family":"Feng","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University No. 199, the Jiefang South Road 221009 Xuzhou Jiangsu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing\u2010Qing","family":"Sun","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University No. 199, the Jiefang South Road 221009 Xuzhou Jiangsu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Chen","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University No. 199, the Jiefang South Road 221009 Xuzhou Jiangsu People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun\u2010Hong","family":"Gao","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> Orthopaedic Department The Second Hospital of Tangshan 063000 Tangshan Hebei People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Oliva","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery University of Salerno Salerno Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5327-3702","authenticated-orcid":false,"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery University of Salerno Salerno Italy"},{"name":"<!--<label>4<\/label>--> Guy Hilton Research Centre, School of Pharmacy and Bioengineering Keele University ST4 7QB Stoke\u2010on\u2010Trent Staffordshire England"},{"name":"<!--<label>5<\/label>--> Centre for Sports and Exercise Medicine Barts and The London School of Medicine and Dentistry, Mile End Hospital 275 Bancroft Road E1 4DG London 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December 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 February 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Author Shi-Ming Feng, Author Qing-Qing Sun, Author Jie Chen, Author Shun-Hong Gao, Author Francesco Oliva and Author Nicola Maffulli declare that they have no conflict of interest. None of the authors has any commercial associations or financial disclosures that might pose or create a conflict of interest with the information presented in this article.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study was approved by the Institutional Review Board of Xuzhou Central Hospital (Xuzhou, Jiangsu, China, approval number XZXY-LJ-20170117-047).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}