{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T19:34:04Z","timestamp":1773776044585,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,3,2]],"date-time":"2020-03-02T00:00:00Z","timestamp":1583107200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010014","name":"Six Talent Peaks Project in Jiangsu Province","doi-asserted-by":"publisher","award":["2019\u2010WSW\u2010173"],"award-info":[{"award-number":["2019\u2010WSW\u2010173"]}],"id":[{"id":"10.13039\/501100010014","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the functional outcomes of arthroscopic anatomical repair of anterior talofibular ligament (ATFL) in the treatment of chronic lateral ankle instability (CLAI) during medium\u2010 and long\u2010term follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From September 2014 to August 2017, the data of 37 patients (23 males, 14 females; 12 left ankles, 25 right ankles) aged between 21 and 56\u2009years, with an average age of 32.17\u2009\u00b1\u20096.35\u2009years, presenting with CLAI, was retrospectively analyzed. Among them, 32 injuries were caused by sprain and five injuries were caused by car accidents. The course of the disease lasted for 12 to 60\u2009months, with an average of 26.07\u2009\u00b1\u200913.29\u2009months. All patients had intact skin around the ankle and no skin lesions. All patients underwent arthroscopic anatomical repair of ATFL, with the fixation of one to two anchors. Pre\u2010 and post\u2010operative visual analogue scales (VAS), the American Orthopaedic Foot and Ankle Society Ankle\u2010Hindfoot Score (AOFAS), and the Karlsson Ankle Functional Score (KAFS) were compared to evaluate the curative effect of the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The operation was successful in all 37 cases. The operation time ranged from 40 to 75\u2009min, with an average of 51.25\u2009\u00b1\u200911.49\u2009min. After surgery, all incisions healed in stage I and there were no complications such as nerve, blood vessel and tendon injury, implant rejection, or suture rejection. Hospital stays of postoperative patients were 3 to 5\u2009days, with an average of 3.77\u2009\u00b1\u20091.36\u2009days. All patients were followed for 24 to 45\u2009months, averaging 33.16\u2009\u00b1\u200910.58\u2009months. For three patients with CLAI combined with mild limitation of subjective ankle movement, joint activity was normal after rehabilitation function exercise and proprioceptive function training for 2\u2009months. At the final follow\u2010up, ankle pain had disappeared completely. The ankle varus stress test and ankle anterior drawer test were both negative. Range of joint motion was good. There was no lateral instability of the ankle and all patients returned to normal gait. The mean VAS score decreased to 1.12\u2009\u00b1\u20090.13, the AOFAS score increased to 92.53\u2009\u00b1\u20094.87, and the KAFS score increased to 93.36\u2009\u00b1\u20096.15. All the follow\u2010up indexes were significantly different from those before surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthroscopic anatomical repair of ATFL for CLAI is precise, with less surgical trauma and reliable medium\u2010 and long\u2010term effect.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12651","type":"journal-article","created":{"date-parts":[[2020,3,3]],"date-time":"2020-03-03T03:59:32Z","timestamp":1583207972000},"page":"505-514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Arthroscopic Anatomical Repair of Anterior Talofibular Ligament for Chronic Lateral Instability of the Ankle: Medium\u2010 and Long\u2010Term Functional Follow\u2010Up"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0815-2426","authenticated-orcid":false,"given":"Shi\u2010ming","family":"Feng","sequence":"first","affiliation":[{"name":"Hand and Foot Microsurgery Department, Xuzhou Central Hospital  Xuzhou China"},{"name":"Xuzhou Clinical College of Xuzhou Medical University  Xuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing\u2010qing","family":"Sun","sequence":"additional","affiliation":[{"name":"Hand and Foot Microsurgery Department, Xuzhou Central Hospital  Xuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ai\u2010guo","family":"Wang","sequence":"additional","affiliation":[{"name":"Hand and Foot Microsurgery Department, Xuzhou Central Hospital  Xuzhou China"},{"name":"Xuzhou Clinical College of Xuzhou Medical University  Xuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bu\u2010qing","family":"Chang","sequence":"additional","affiliation":[{"name":"Hand and Foot Microsurgery Department, Xuzhou Central Hospital  Xuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Cheng","sequence":"additional","affiliation":[{"name":"Hand and Foot Microsurgery Department, Xuzhou Central Hospital  Xuzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,3,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3810\/psm.2009.06.1715"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118805400"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2750-6"},{"key":"e_1_2_5_5_1","first-page":"18","article-title":"Sports ankle injuries \u2010 assessment and management","volume":"39","author":"Slimmon D","year":"2010","journal-title":"Aust Fam Physician"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.12.001"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1938640017753170"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/2325967119873852"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-017-9391-x"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2014.01.002"},{"key":"e_1_2_5_11_1","first-page":"2497","article-title":"Arthroscopic repair of lateral ankle ligament for chronic lateral ankle instability: a systematic review","volume":"34","author":"Brown AJ","year":"2018","journal-title":"Art Ther"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2016.05.315"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517698675"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010617"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05650-9"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-019-05552-w"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.ST.18.00026"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/107110079401500701"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-009-1346-7"},{"key":"e_1_2_5_20_1","first-page":"551","article-title":"Sprained ankles. 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