{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T22:44:00Z","timestamp":1785019440483,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2022,9,5]],"date-time":"2022-09-05T00:00:00Z","timestamp":1662336000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Science and Technology Program of Guangzhou, China","award":["202102010079"],"award-info":[{"award-number":["202102010079"]}]},{"name":"Science and Technology Program of Guangzhou, China","award":["21620452"],"award-info":[{"award-number":["21620452"]}]},{"name":"Science and Technology Program of Guangzhou, China","award":["81601219"],"award-info":[{"award-number":["81601219"]}]},{"name":"Science and Technology Program of Guangzhou, China","award":["JNU1AF-CFTP-2022-a01204"],"award-info":[{"award-number":["JNU1AF-CFTP-2022-a01204"]}]},{"name":"Fundamental Research Funds for the Central Universities","award":["202102010079"],"award-info":[{"award-number":["202102010079"]}]},{"name":"Fundamental Research Funds for the Central Universities","award":["21620452"],"award-info":[{"award-number":["21620452"]}]},{"name":"Fundamental Research Funds for the Central Universities","award":["81601219"],"award-info":[{"award-number":["81601219"]}]},{"name":"Fundamental Research Funds for the Central Universities","award":["JNU1AF-CFTP-2022-a01204"],"award-info":[{"award-number":["JNU1AF-CFTP-2022-a01204"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["202102010079"],"award-info":[{"award-number":["202102010079"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["21620452"],"award-info":[{"award-number":["21620452"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81601219"],"award-info":[{"award-number":["81601219"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["JNU1AF-CFTP-2022-a01204"],"award-info":[{"award-number":["JNU1AF-CFTP-2022-a01204"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Clinical Frontier Technology Program of the First Affiliated Hospital of Jinan University, China","award":["202102010079"],"award-info":[{"award-number":["202102010079"]}]},{"name":"Clinical Frontier Technology Program of the First Affiliated Hospital of Jinan University, China","award":["21620452"],"award-info":[{"award-number":["21620452"]}]},{"name":"Clinical Frontier Technology Program of the First Affiliated Hospital of Jinan University, China","award":["81601219"],"award-info":[{"award-number":["81601219"]}]},{"name":"Clinical Frontier Technology Program of the First Affiliated Hospital of Jinan University, China","award":["JNU1AF-CFTP-2022-a01204"],"award-info":[{"award-number":["JNU1AF-CFTP-2022-a01204"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Objective: To explore the biomechanical efficacy of arthroscopic all-inside anterior talofibular ligament (ATFL) suture augmentation repair, plus suture augmentation repair and anterior tibiofibular ligament-distal fascicle (ATiFL-DF) transfer augmentation repair, so as to provide a basis for the accurate selection of ATFL repair in clinical practice. Methods: Twenty-four (12 pairs) fresh frozen human cadaver ankle specimens were used. Six of the ankle specimens were set as the normal group, and the other 18 ankle specimens were used to establish ATFL injury models. The ATFL was then repaired using arthroscopic all-inside ATFL suture augmentation repair (suture augmentation group), plus suture augmentation repair (plus suture augmentation group) and ATiFL-DF transfer augmentation repair (biological augmentation group), respectively. After the repaired ATFL was separated, the ankle specimens were fixed on an electronic universal testing machine with a customized fixture for the tensile test, and the ultimate failure load (N) and stiffness (N\/mm) of the ankle specimens were compared. Results: The ultimate failure load of the plus suture augmentation group (229.3 \u00b1 66.7 N) was significantly higher than that in the normal group (148.2 \u00b1 39.4 N, p = 0.045) and the biological augmentation group (131.3 \u00b1 38.8 N, p = 0.013). There was no statistical difference in ultimate failure load between the suture augmentation group (167.2 \u00b1 47.2 N), the normal group and the biological augmentation group. The stiffness of the plus suture augmentation group (26.2 \u00b1 8.2 N\/mm) was significantly higher than that in the normal group (12.1 \u00b1 3.8 N\/mm, p = 0.005) and the biological augmentation group (12.7 \u00b1 5.2 N\/mm, p = 0.007). The stiffness of the suture augmentation group (23.6 \u00b1 7.0 N\/mm) was significantly higher than that in the normal group (p = 0.024) and the biological augmentation group (p = 0.033). There was no statistical difference in stiffness between the plus suture augmentation group and the suture augmentation group, and no statistical difference in stiffness between the normal group and the biological augmentation group. Conclusions: The tensile strength and rigidity of plus suture augmentation repair were significantly better than those of normal ATFL, suture augmentation repair and ATiFL-DF transfer augmentation repair. Suture augmentation repair can obtain tensile strength similar to normal ATFL and ATiFL-DF transfer augmentation repair, and suture augmentation repair can obtain rigidity significantly better than normal ATFL and ATiFL-DF transfer augmentation repair. ATiFL-DF transfer augmentation repair can obtain tensile strength and rigidity similar to normal ATFL.<\/jats:p>","DOI":"10.3390\/jcm11175235","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T20:52:51Z","timestamp":1662497571000},"page":"5235","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Biomechanical Study of Arthroscopic All-Inside Anterior Talofibular Ligament Suture Augmentation Repair, Plus Suture Augmentation Repair and Anterior Tibiofibular Ligament\u2019s Distal Fascicle Transfer Augmentation Repair"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0532-7622","authenticated-orcid":false,"given":"Lei","family":"Xiao","sequence":"first","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"},{"name":"Department of Emergency, The First Affiliated Hospital, Jinan University, Guangzhou 510632, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3882-0656","authenticated-orcid":false,"given":"Boyuan","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yijuan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Emergency, The First Affiliated Hospital, Jinan University, Guangzhou 510632, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dahai","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"},{"name":"International School, Jinan University, Guangzhou 510632, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jieruo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofei","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huige","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huajun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Bone and Joint Surgery and Sports Medicine Center, The First Affiliated Hospital, Jinan University, Guangzhou 510630, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"603","DOI":"10.4085\/1062-6050-447-17","article-title":"Epidemiology of ankle sprains and chronic ankle instability","volume":"54","author":"Herzog","year":"2019","journal-title":"J. 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