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Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors

BACKGROUND: Few studies have compared the clinical outcomes of using 1 versus 2 suture anchors for anterior talofibular ligament (ATFL) repair. PURPOSE: To compare the function and activity-related outcomes of arthroscopic ATFL repair using 1 versus 2 suture anchors. STUDY DESIGN: Cohort study; Leve...

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Autores principales: Zhou, Yun-Feng, Zhang, Hao-Zhi, Zhang, Zheng-Zheng, Jiang, Chuan, Chen, Zhong, Zhang, Cong-Da, Li, Wei-Ping, Shen, Hui-Yong, Song, Bin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299893/
https://www.ncbi.nlm.nih.gov/pubmed/34368375
http://dx.doi.org/10.1177/2325967121991930
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author Zhou, Yun-Feng
Zhang, Hao-Zhi
Zhang, Zheng-Zheng
Jiang, Chuan
Chen, Zhong
Zhang, Cong-Da
Li, Wei-Ping
Shen, Hui-Yong
Song, Bin
author_facet Zhou, Yun-Feng
Zhang, Hao-Zhi
Zhang, Zheng-Zheng
Jiang, Chuan
Chen, Zhong
Zhang, Cong-Da
Li, Wei-Ping
Shen, Hui-Yong
Song, Bin
author_sort Zhou, Yun-Feng
collection PubMed
description BACKGROUND: Few studies have compared the clinical outcomes of using 1 versus 2 suture anchors for anterior talofibular ligament (ATFL) repair. PURPOSE: To compare the function and activity-related outcomes of arthroscopic ATFL repair using 1 versus 2 suture anchors. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This retrospective study involved 46 patients (22 patients in the 1-anchor group, 24 patients in the 2-anchor group) who underwent ATFL repair between January 2015 and December 2017. American Orthopaedic Foot & Ankle Society score, Karlsson and Peterson score, and Tegner activity level were evaluated preoperatively and ≥2.5 years postoperatively. At follow-up, patients were also asked about time to return to sport as well as level and intensity of physical fitness. Satisfaction was evaluated with the Sefton grading system. RESULTS: After ≥2.5 years of follow-up (30 months in the 1-anchor group, 33 months in the 2-anchor group), patients in the 2-anchor group had a higher Tegner activity level than those in the 1-anchor group (mean ± SD, 4.75 ± 1.07 vs 4.05 ± 1.17; P = .039). As compared with patients in the 2-anchor group, fewer patients in the 1-anchor group returned to their preoperative activity level (54.2% vs 22.9%; P = .029); the rate of activity at the same or higher intensity as preinjury was also lower in the 1-anchor group (50% vs 79.2%; P = .038). However, there were no differences between the groups in terms of American Orthopaedic Foot & Ankle Society and Karlsson and Peterson scores, time to return to work/sport, duration of activity participation, level of physical fitness, or satisfaction according to Sefton grading. CONCLUSION: Arthroscopic ATFL repair appears to be an effective treatment regardless of whether 1 or 2 suture anchors are used. The techniques had similar functional outcome scores, but 1-anchor repair produced inferior activity-related outcomes.
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spelling pubmed-82998932021-08-06 Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors Zhou, Yun-Feng Zhang, Hao-Zhi Zhang, Zheng-Zheng Jiang, Chuan Chen, Zhong Zhang, Cong-Da Li, Wei-Ping Shen, Hui-Yong Song, Bin Orthop J Sports Med Article BACKGROUND: Few studies have compared the clinical outcomes of using 1 versus 2 suture anchors for anterior talofibular ligament (ATFL) repair. PURPOSE: To compare the function and activity-related outcomes of arthroscopic ATFL repair using 1 versus 2 suture anchors. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: This retrospective study involved 46 patients (22 patients in the 1-anchor group, 24 patients in the 2-anchor group) who underwent ATFL repair between January 2015 and December 2017. American Orthopaedic Foot & Ankle Society score, Karlsson and Peterson score, and Tegner activity level were evaluated preoperatively and ≥2.5 years postoperatively. At follow-up, patients were also asked about time to return to sport as well as level and intensity of physical fitness. Satisfaction was evaluated with the Sefton grading system. RESULTS: After ≥2.5 years of follow-up (30 months in the 1-anchor group, 33 months in the 2-anchor group), patients in the 2-anchor group had a higher Tegner activity level than those in the 1-anchor group (mean ± SD, 4.75 ± 1.07 vs 4.05 ± 1.17; P = .039). As compared with patients in the 2-anchor group, fewer patients in the 1-anchor group returned to their preoperative activity level (54.2% vs 22.9%; P = .029); the rate of activity at the same or higher intensity as preinjury was also lower in the 1-anchor group (50% vs 79.2%; P = .038). However, there were no differences between the groups in terms of American Orthopaedic Foot & Ankle Society and Karlsson and Peterson scores, time to return to work/sport, duration of activity participation, level of physical fitness, or satisfaction according to Sefton grading. CONCLUSION: Arthroscopic ATFL repair appears to be an effective treatment regardless of whether 1 or 2 suture anchors are used. The techniques had similar functional outcome scores, but 1-anchor repair produced inferior activity-related outcomes. SAGE Publications 2021-07-21 /pmc/articles/PMC8299893/ /pubmed/34368375 http://dx.doi.org/10.1177/2325967121991930 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Article
Zhou, Yun-Feng
Zhang, Hao-Zhi
Zhang, Zheng-Zheng
Jiang, Chuan
Chen, Zhong
Zhang, Cong-Da
Li, Wei-Ping
Shen, Hui-Yong
Song, Bin
Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors
title Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors
title_full Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors
title_fullStr Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors
title_full_unstemmed Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors
title_short Comparison of Function- and Activity-Related Outcomes After Anterior Talofibular Ligament Repair With 1 Versus 2 Suture Anchors
title_sort comparison of function- and activity-related outcomes after anterior talofibular ligament repair with 1 versus 2 suture anchors
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299893/
https://www.ncbi.nlm.nih.gov/pubmed/34368375
http://dx.doi.org/10.1177/2325967121991930
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