{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T22:43:59Z","timestamp":1785019439576,"version":"3.55.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T00:00:00Z","timestamp":1638230400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T00:00:00Z","timestamp":1638230400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Treatment of chronic ankle instability (CAI) for ankle sprain patients remains a challenge. If initial treatments fail, surgical stabilization techniques including ligament reconstruction should be performed. Anterior tibiofibular ligament (ATiFL) distal fascicle transfer for CAI was recently introduced. The goal of the study is to assess the 1-year clinical effectiveness of ATiFL\u2019s distal fascicle transfer versus ligament reconstruction with InternalBrace\u2122 (Fa. Arthrex, Naples).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Between October 2019 and February 2021, 25 patients (14 males and 11 females) scheduled for ligament reconstruction treatment of CAI were enrolled after propensity score matching. Twelve underwent ligament reconstruction with InternalBrace\u2122 (InternalBrace\u2122 group) and thirteen underwent ATiFL\u2019s distal fascicle transfer (ATiFL\u2019s distal fascicle transfer group). We recorded the American Orthopedic Foot &amp; Ankle Society (AOFAS) score, Visual Analogue Scale (VAS), anterior drawer test grade, patient satisfaction and complications. All results of this study were retrospectively analyzed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Statistically significant (<jats:italic>p<\/jats:italic>\u2009=\u20090.0251, independent-samples <jats:italic>t<\/jats:italic> test) differences in the AOFAS can be found between the ATiFL\u2019s distal fascicle transfer group and the InternalBrace\u2122 group. No substantial changes in the VAS (<jats:italic>p<\/jats:italic>\u2009=\u20090.1778, independent-samples <jats:italic>t<\/jats:italic> test), patient satisfaction (<jats:italic>p<\/jats:italic>\u2009=\u20090.1800, independent-samples <jats:italic>t<\/jats:italic> test) and anterior drawer test grade (<jats:italic>p<\/jats:italic>\u2009=\u20090.9600, independent-samples <jats:italic>t<\/jats:italic> test) were found between the two groups. There was one patient with superficial wound infection and one patient with sural nerve injury in the InternalBrace\u2122 group and ATiFL\u2019s distal fascicle transfer group, respectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This is the first study that assessed a cohort of CAI patients and suggests that the ATiFL\u2019s distal fascicle transfer operation has the potential to attain good-to-excellent clinical outcomes after 1-year recovery. The AOFAS scores were significantly higher for patients with ATiFL\u2019s distal fascicle transfer, indicating that this technique may be considered a viable option for both patients and their surgeon, while long-term outcomes should be investigated in the future.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-021-04214-2","type":"journal-article","created":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T18:06:53Z","timestamp":1638295613000},"page":"2829-2837","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Clinical outcomes of anterior tibiofibular ligament\u2019s distal fascicle transfer versus ligament reconstruction with InternalBrace\u2122 for chronic ankle instability patients"],"prefix":"10.1007","volume":"142","author":[{"given":"Jiaxin","family":"Tian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsz-Ngai","family":"Mok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tat-Hang","family":"Sin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengang","family":"Zha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofei","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiang","family":"Teng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3290-9003","authenticated-orcid":false,"given":"Huige","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,11,30]]},"reference":[{"key":"4214_CR1","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1177\/0363546509338107","volume":"37","author":"N Malliaropoulos","year":"2009","unstructured":"Malliaropoulos N, Ntessalen M, Papacostas E, Longo UG, Maffulli N (2009) Reinjury after acute lateral ankle sprains in elite track and field athletes. 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We have no conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by the ethics committee of the First Affiliated Hospital of Jinan University.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All patients have signed informed consents and consented to publish details of their cases.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}