{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T21:59:49Z","timestamp":1793311189473,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,10,18]],"date-time":"2020-10-18T00:00:00Z","timestamp":1602979200000},"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":[[2020,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the clinical outcomes of horizontal mattress suture <jats:italic>vs<\/jats:italic> free\u2010edge suture in the all\u2010inside arthroscopic Brostr\u00f6m\u2013Gould procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study included 68 chronic lateral ankle instability (CLAI) patients who underwent either a horizontal mattress suture or a free\u2010edge suture all\u2010inside arthroscopic Brostr\u00f6m\u2013Gould procedure from January 2014 to January 2017. Patients were divided into two groups based on the suture fashion during the all\u2010inside arthroscopic Brostr\u00f6m\u2013Gould procedure. In the horizontal mattress suture group (n = 31), anchor sutures were used to suture the ATFL, capsule, and inferior extensor retinaculum in horizontal mattress suture fashion. In the free\u2010edge suture group (n = 37), anchor sutures were used to suture the ATFL, capsule, and inferior extensor retinaculum in free\u2010edge suture fashion. The Visual Analogue Scale (VAS) score, the American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson Ankle Functional Score (KAFS), Anterior Talar Translation (ATT), the rate of return to sports, and ankle proprioceptive recovery were compared in both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The operative times and duration of hospitalization between the two groups were comparable (all <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). The VAS, AOFAS, ATT, the rate of return to sports, and ankle proprioceptive recovery were comparable between the horizontal mattress suture and free\u2010edge suture groups at 1 and 2\u2009years after surgery. Patients of the free\u2010edge suture group achieved better KAFS 1 and 2\u2009years after the surgery compared with those of the horizontal mattress suture group. In both groups, incisions were healed by first intention, and complications such as infection, implant reactions, tendon injury, and nervous or vascular injuries were not observed. The ankle proprioceptive recovery in horizontal mattress suture and free\u2010edge suture groups showed no significant differences at 1 and 2\u2009years after surgery. The mean time of the return to full activity for patients in the horizontal mattress suture group was 10.38\u2009\u00b1\u20092.02 (range 8 to 12) weeks <jats:italic>vs<\/jats:italic> 8.63\u2009\u00b1\u20092.31 (range 8 to 12) weeks for those in the free\u2010edge suture group (<jats:italic>P<\/jats:italic> = 0.001, power = 0.907). The exercise participation rates were comparable between groups (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05). At the 2\u2010year follow\u2010up, all patients regained normal activities and ankle stability, and no recurrence of CLAI or revision surgery was recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>All\u2010inside arthroscopic Brostr\u00f6m\u2013Gould surgery for the treatment of CLAI ensures a better functional effect (KAFS) and better recovery time when free\u2010edge suture is used instead of horizontal mattress suture.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12817","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T06:45:45Z","timestamp":1603089945000},"page":"1799-1810","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Functional Comparison of Horizontal Mattress Suture <i>Versus<\/i><scp>Free\u2010Edge<\/scp> Suture in the <scp>All\u2010Inside<\/scp> Arthroscopic <scp>Brostr\u00f6m\u2013Gould<\/scp> Procedure for Chronic Lateral Ankle Instability"],"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":"Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital  Xuzhou China"},{"name":"Orthopaedic Department Xuzhou Clinical College of Xuzhou Medical University  Xuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Han","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital  Xuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai\u2010Guo","family":"Wang","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital  Xuzhou China"},{"name":"Orthopaedic Department Xuzhou Clinical College of Xuzhou Medical University  Xuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia\u2010Qiang","family":"Fan","sequence":"additional","affiliation":[{"name":"Orthopaedic Department, Sports Medicine Department Xuzhou Central Hospital  Xuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,18]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518820529"},{"key":"e_1_2_5_3_1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/1071100719875964","article-title":"Open Brostr\u00f6m\u2010Gould repair vs arthroscopic anatomical repair of the anterior Talofibular ligament for chronic lateral ankle instability","volume":"41","author":"Zeng G","year":"2020","journal-title":"Foot Ankle 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