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12th Biennial ISAKOS Congress 2020

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16945 All-inside arthroscopic lateral ankle ligament repair with accelerated rehabilitation achieved earlier return to sports compared to open procedures

Mai Katakura

Yasuyuki Jujo

Kazuaki Okugura

Yukinori Mori

Keisuke Hayashi

Hideyuki Koga

Masato Takao

Clinical and Research Institute for Foot and Ankle Surgery, Jujo Hospital, Chiba, Japan

Background

Recently, arthroscopic lateral ankle ligament repair techniques have become increasingly popular and have been expected to achieve better clinical results compared to open procedures. However, several comparative studies investigating arthroscopic versus open lateral ankle ligament repair techniques have reported similar clinical results at a minimum follow-up of one year or two years and failed to show superiority of arthroscopic surgery. Though these clinical results at a final follow-up is important, time to return to sports after surgery is another major concern among athletes. According to the five reports which clearly mentioned the time to return to sports after open reconstruction surgery for lateral ankle instability, mean time to return to sports has been reported to be 9.5 to 17.1 weeks (range; 7 to 22 weeks). On the other hand, the information regarding the time to return to sports after arthroscopic techniques is limited. Considering the literature which reported the effects of accelerated rehabilitation on early return to activity, it was hypothesized that combination of less invasive all-inside arthroscopic lateral ankle ligament repair and accelerated rehabilitation would achieve earlier return to sports after surgery compared to the previously reported open procedures. The purpose of the present study was to investigate the time to return to training and sports after all-inside arthroscopic lateral ankle ligament repair and compare the results with the previously reported results of open procedures.

Methods

Between July 2017 and June 2018, a consecutive series of 95 patients underwent all-inside arthroscopic lateral ankle ligament repair in our hospital. Of 95, 73 had isolated all-inside arthroscopic lateral ankle ligament repair without any procedures for additional injuries such as osteochondral lesions, deltoid ligament …

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