All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines.

IF 5.2 2区医学 Q1 Medicine British medical bulletin Pub Date : 2025-04-04 DOI:10.1093/bmb/ldaf001

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

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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.

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慢性外侧踝关节不稳定的全内关节镜手术：循证临床实践指南。

背景：全内关节镜手术是目前治疗慢性外侧踝关节不稳（CLAI）的常用方法，其功能效果令人满意。目前，全内关节镜手术治疗 CLAI 尚无循证指南。许多手术决策仍具有不确定性和挑战性：数据来源：PubMed、MEDLINE、Web of Science、EMBASE 和 Cochrane 数据库中已发表的科学文献：全关节镜内修复和重建手术是治疗 CLAI 的可靠方法：全内关节镜手术治疗 CLAI 面临重大挑战，尤其是在以下方面：鉴于目前缺乏针对 CLAI 全关节镜手术的指南，本循证临床实践指南提供了 11 项建议以解决争议：对于接受全内关节镜手术的 CLAI 患者，亟需开展比较研究，以确定负重以及重返工作和运动的最佳时机。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British medical bulletin 医学-医学：内科

CiteScore

13.10

自引率

1.50%

发文量

审稿时长

>12 weeks

期刊介绍： British Medical Bulletin is a multidisciplinary publication, which comprises high quality reviews aimed at generalist physicians, junior doctors, and medical students in both developed and developing countries. Its key aims are to provide interpretations of growing points in medicine by trusted experts in the field, and to assist practitioners in incorporating not just evidence but new conceptual ways of thinking into their practice.