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Systematic review of arthroscopic lateral ligament repair for chronic ankle instability |
WANG Tingfan1 WEI Daiqing2 LU Xiaobo2 |
1.Clinical Medical College of Southwest Medical University, Sichuan Province, Luzhou 646000, China;
2.Department of Orthopaedics, the Affiliated Hospital of Southwest Medical University, Sichuan Province, Luzhou 646000, China |
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Abstract Objective To investigate the feasibility of chronic ankle instability (CAI) in prosthetic treatment of lateral ligament by arthroscopy. Methods We performed a systematic review of the literature using PubMed, EMBASE, Cochrane database, ScienceNet, China National Knowledge Infrastructure, VIP, Wanfang, Baidu Scholar and other databases from the date when these databases were established to February 2018. Information about clinical research on CAI in prosthetic treatment of lateral ligament by arthroscopy were collected. Outcome measures consisted of patients′ pre-operation conditions, post-operation functional recovery, complications and so on. Results A total of 791 patients were included in 16 clinical trials. It was reported in 9 researches that the score of American Orthopaedic Foot & Ankle Society (AOFAS) is excellent (range: 90-100 scores) and it was reported in 6 researches that the average score of AOFAS is good (range: 75-89 scores) and no researches indicated that the average score of AOFAS after operation was ok and poor. There were 75 complications in all in which 3 patients had second operation due to recurrence of ankle instability. Conclusion The prosthetic treatment of lateral ligament by arthroscopy can be used to cure CAI as one feasible operative plan but the repair by arthroscopy may cause higher rate of complication. Therefore, we need to carry out more researches on corpse specimen and comparative researches on clinical tests, open operation and operation by arthroscopy to further evaluate curative effects of treatment by arthroscopy.
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