{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T21:59:51Z","timestamp":1793311191278,"version":"4.5.0"},"reference-count":37,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T00:00:00Z","timestamp":1699747200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Science and Technology Winter Olympics Special Projects, and the National Key Research and Development Program of China","award":["2018YFF0301100"],"award-info":[{"award-number":["2018YFF0301100"]}]},{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2018YFF0301100"],"award-info":[{"award-number":["2018YFF0301100"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical outcomes of anatomic repair procedure for chronic anterior talofibular ligament (ATFL) injury at the talar side, and to compare the outcomes between patients with and without concomitant avulsion fractures. It was hypothesized that anatomic repair procedure could produce similarly satisfactory outcomes for those two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010nine consecutive patients with chronic ATFL injuries at the talar side who underwent anatomic repair procedure at the department of sports medicine at Peking University Third Hospital between 2013 and 2018, were retrospectively evaluated. The pain visual analogue scale (VAS), American Orthopaedic Foot &amp; Ankle Society (AOFAS) score, Tegner score, and Foot &amp; Ankle Outcome Score (FAOS) were recorded as the primary outcomes. Time to return to sports (RTS), surgical satisfaction, deficiency of ankle range of motion (ROM), recurrent sprain, and postoperative complications were recorded as the secondary outcomes. Outcomes were compared between patients with (Group A, 16 cases) and without (Group B, 23 cases) concomitant avulsion fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow\u2010up time was 79.4\u2009\u00b1\u200917.0 and 76.6\u2009\u00b1\u200918.5\u00a0months for Group A and B, respectively. VAS, AOFAS, Tegner, FAOS, and all subscale scores of FAOS were significantly improved in both groups at the final follow up. Patients in group A had inferior postoperative VAS, AOFAS, FAOS, and pain score of FAOS compared to group B (1.1\u2009\u00b1\u20091.1 vs. 0.4\u2009\u00b1\u20090.5, 89.1\u2009\u00b1\u200910.1 vs. 95.2\u2009\u00b1\u20095.2, 87.2\u2009\u00b1\u20097.2 vs. 91.5\u2009\u00b1\u20094.1, and 88.4\u2009\u00b1\u200911.3 vs. 96.7\u2009\u00b1\u20093.5, respectively).The mean time to RTS, rate of satisfaction and recurrent sprain had no significant differences between group A and B (6.1\u2009\u00b1\u20092.8, 93.8%, and 18.8% vs. 5.2\u2009\u00b1\u20092.2, 100.0%, and 13.0%, respectively), and the rate of ROM deficiency was significantly higher in group A (37.5 vs. 8.7%). Avulsion fracture was identified as an independent risk factor for inferior pain score of FAOS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Anatomic repair procedure for chronic ATFL injuries at the talar side produces favourable results for patients with and without avulsion fractures at 5 to 10\u00a0years follow\u2010up, however, avulsion fracture is associated with more pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-023-07658-8","type":"journal-article","created":{"date-parts":[[2023,11,12]],"date-time":"2023-11-12T03:01:11Z","timestamp":1699758071000},"page":"6104-6112","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Avulsion fracture is associated with more pain after anatomic repair procedure for ATFL injury at the talar side"],"prefix":"10.1002","volume":"31","author":[{"given":"Shikai","family":"Xiong","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weili","family":"Shi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keying","family":"Zhang","sequence":"additional","affiliation":[{"name":"Peking University Health Science Center 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanbin","family":"Pi","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linxin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital Institute of Sports Medicine of Peking University Engineering Research Center of Sports Trauma Treatment Technology and Devices Ministry of Education 49\u00a0North Garden Road, Haidian District 100191 Beijing People\u2019s Republic of 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