All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines
Year: 2025
Type: article
Abstract: BACKGROUND: All-inside arthroscopic procedures are now frequently employed to manage chronic lateral ankle instability (CLAI) with satisfactory functional outcomes. Currently, no evidence-based guidelines exist for all-inside arthroscopic procedures for CLAI. Many surgical decisions remain uncertain and challenging. SOURCES OF DATA: Published scientific literature in PubMed, MEDLINE, Web of Science, EMBASE, and Cochrane databases. AREAS OF AGREEMENT: All-inside arthroscopic repair and reconstruction procedures are reliable treatments for CLAI. AREAS OF CONTROVERSY: The all-inside arthroscopic procedures for CLAI present significant challenges, particularly in the following aspects. GROWING POINTS: Given the lack of guidelines for the all-inside arthroscopic procedures for CLAI, this evidence-based clinical practice guideline provides 11 recommendations to address the controversy. AREAS TIMELY FOR DEVELOPING RESEARCH: In patients with CLAI undergoing all-inside arthroscopic procedures, comparative studies are urgently needed to establish the optimal timing for weight-bearing, as well as return to work and sports.
Source: British Medical Bulletin
DOI: 10.1093/bmb/ldaf001
Authors: Shi-Ming Feng, Nicola Maffulli, C Niek van Dijk, Hai-Lin Xu, Kai Fehske, Christian Plaass, Francesco Oliva, Thomas Karius, Shun-Hong Gao, Wei Xu, Lu Bai, Run-Lai Song, Yue-Feng Hao, Hui Zhang, Yang-Bo Xu, Ning Zhang, Lei Lou, Tian-Tian Ren, Guo-Dong Wang, Qi Li, Jian-Hua Wu, Yong-Zhan Zhu, Gang Yin, Tong-Fu Wang, Jian-Zhong Qin, Amol Saxena, Chao Ma
Institutions: Xuzhou Medical College, Xuzhou Central Hospital, Queen Mary University of London, Mile End Hospital, Keele University, Sapienza University of Rome, University of Amsterdam, Peking University, Peking University People's Hospital, Universitätsklinikum Würzburg, Johanniter-Krankenhaus Bonn, Medizinische Hochschule Hannover, Diakovere, San Raffaele University of Rome, Second Hospital of Tangshan, Second Affiliated Hospital of Soochow University, Peking University Shenzhen Hospital, Second People’s Hospital of Yibin, Suzhou Municipal Hospital, Nanjing Medical University, Sichuan University, West China Hospital of Sichuan University, Affiliated Hospital of Southwest Medical University, Second Hospital of Shandong University, Luoyang Orthopedic-Traumatological Hospital of Henan Province, Ningbo University, Affiliated Hospital of Jining Medical University, Affiliated Hospital of Guizhou Medical University, Foshan Hospital of TCM, Binzhou Medical University, Tianjin University, Tianjin Hospital, Palo Alto Medical Foundation
Language: English
Topic: Foot and Ankle Surgery
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,362
Funder: Jiangsu Commission of Health
OpenAlex ID: W4409155178