{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T09:36:18Z","timestamp":1793266578548,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T00:00:00Z","timestamp":1621641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Chronic ankle instability is a common condition that can be treated with lateral ankle ligament repair. These procedures have a reported success rate greater than 85% in the literature, but little has been reported about the differences in postoperative outcomes between males and females. The purpose of this study was to evaluate sex-specific outcomes following lateral ankle ligament repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this systematic review and meta-analysis, we used Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria to search for articles on electronic databases and included studies in which study participants underwent primary lateral ligament repair and sex-specific outcomes were evaluated. Functional postoperative outcomes for males and females were recorded and statistically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Out of 2768 studies, 7 (0.25%) met inclusion criteria and were analyzed in this review. These studies included 618 patients (402 males [65%] and 216 females [35%]) who underwent primary lateral ligament repair for ankle instability. Karlsson score ( P = .1582) and American Orthopaedic Foot &amp; Ankle Society (AOFAS) score ( P = .1586) analyses found no statistically significant difference between males and females. Postoperative success rate\u2014defined as a \u201cgood\u201d or \u201cexcellent\u201d Karlsson score (&gt;81)\u2014was not found to be significantly different between males and females ( P = .9374).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There was no difference in postoperative mean Karlsson scores, AOFAS scores, or success rates between males and females who underwent primary lateral ankle ligament repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level IV, therapeutic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007211004191","type":"journal-article","created":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T08:38:28Z","timestamp":1621672708000},"page":"1311-1318","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Sex-Specific Differences Following Lateral Ankle Ligament Repair"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0155-6399","authenticated-orcid":false,"given":"Ezra","family":"Goodrich","sequence":"first","affiliation":[{"name":"University of Kansas School of Medicine, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3362-1842","authenticated-orcid":false,"given":"Matthew L.","family":"Vopat","sequence":"additional","affiliation":[{"name":"University of Kansas School of Medicine, Wichita, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Baker","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armin","family":"Tarakemeh","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Templeton","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary K.","family":"Mulcahey","sequence":"additional","affiliation":[{"name":"Tulane Medical Center, New Orleans, Louisiana, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Paul","family":"Schroeppel","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Mullen","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan G.","family":"Vopat","sequence":"additional","affiliation":[{"name":"University of Kansas Medical Center, Kansas City, Kansas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,22]]},"reference":[{"key":"bibr1-10711007211004191","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0770.191446"},{"key":"bibr2-10711007211004191","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.169.8.664"},{"key":"bibr3-10711007211004191","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-45.1.29"},{"key":"bibr4-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0870-6"},{"key":"bibr5-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-018-2955-4"},{"key":"bibr6-10711007211004191","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2009.0213"},{"key":"bibr7-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1111\/os.12651"},{"key":"bibr8-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"bibr9-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-5-13"},{"key":"bibr10-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490647"},{"key":"bibr11-10711007211004191","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2019.11.1.126"},{"key":"bibr12-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"bibr13-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516656183"},{"key":"bibr14-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515573008"},{"key":"bibr15-10711007211004191","first-page":"46","volume":"20","author":"Wilkerson RD","year":"2000","journal-title":"Iowa Orthop J"},{"key":"bibr16-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715603372"},{"key":"bibr17-10711007211004191","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516657816"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007211004191","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007211004191","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007211004191","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:24:31Z","timestamp":1777411471000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007211004191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,22]]},"references-count":17,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1177\/10711007211004191"],"URL":"https:\/\/doi.org\/10.1177\/10711007211004191","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,22]]}}}