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The patients were evaluated before operation and at 3 months, 6 months, 12 months, and 24 months after surgery. The American Orthopaedic Foot and Ankle Society score (AOFAS), visual analog scale (VAS), and Karlsson\u2010Peterson score were evaluated at each time point, and stress radiography with a Telos device was performed before surgery and at final follow\u2010up. The time to return to full weightbearing walking, jogging, sports, and work, Tegner activity score, and complications were recorded and compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All the subjective scores significantly improved after surgery from the preoperative level. Compared with the open group, the arthroscopic group demonstrated significantly earlier return to full weightbearing walking (8.9 vs 11.7 weeks,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001), jogging (17.9 vs 20.9 weeks,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .012), and recreational sports (22.4 vs 26.5 weeks,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .001) with significantly better AOFAS score and Karlsson score at 3 to 6 months, and better VAS score at 6 months after surgery. The 2 groups demonstrated no significant difference in the surgical duration or surgical complications. No significant difference was found in the clinical scores or stress radiographic measurements at 24 months after surgery (\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Compared with the open procedure, the arthroscopic all\u2010inside anatomic lateral ankle ligament reconstruction with autologous gracilis tendon could achieve earlier return to full weightbearing, jogging, and recreational sports with less pain and better ankle functional scores at 3 to 6 months after surgery. Similar favorable short\u2010term clinical outcomes were achieved for both techniques at 2 years after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Level I, randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.11.035","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T02:31:30Z","timestamp":1670466690000},"page":"1035-1045","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Both Open and Arthroscopic All\u2010Inside Anatomic Reconstruction With Autologous Gracilis Tendon Restore Ankle Stability in Patients With Chronic Lateral Ankle Instability"],"prefix":"10.1002","volume":"39","author":[{"given":"Tong","family":"Su","sequence":"first","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"An\u2010hong","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qin\u2010wei","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi\u2010chuan","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan\u2010fang","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue\u2010lin","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. Institute of Sports Medicine of Peking University Beijing Key Laboratory of Sports Injuries Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Jiao","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine Peking University Third Hospital. 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