High incidence of post-operative re-sprain following suture tape implantation for anterior talofibular ligament insufficiency and risk factors for post-operative re-sprain

IF 3.3 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2024-08-27 DOI:10.1002/ksa.12436

Jun Young Choi, Jin Soo Suh, Ju Hwan Park, Tewodros Taye Asfaw

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引用次数: 0

Abstract

Purpose

Anterior talofibular ligament (ATFL) insufficiency encompasses situations in which (i) frequent sprains cause ATFL loss, as evidenced by ATFL non-visualization on preoperative magnetic resonance imaging; or (ii) minimal healthy ATFL tissue for repair is left after the removal of the large os subfibulare. Suture tape implantation can be indicated for these cases rather than conventional ligament repair. This study was designed to investigate the incidence of post-operative re-sprain in patients who underwent suture tape implantation for ATFL insufficiency, and risk factors influencing the occurrence of post-operative re-sprain were identified.

Methods

A total of 68 patients who underwent suture tape implantation for ATFL insufficiency from January 2016 to December 2021 were retrospectively evaluated. The minimum follow-up duration for inclusion was 2 years after surgery. All included patients were divided into two groups according to the presence of post-operative re-sprain during the follow-up period. Multiple clinico-radiographic parameters were measured, and binary logistic regression analysis was performed to determine the factors influencing post-operative re-sprain.

Results

Post-operative re-sprain occurred in 19 of the 68 patients (27.9%), and multiple re-sprains persisted in 7 patients (10.3%). Post-operative re-sprain was more likely to occur in patients who smoked after surgery (odds ratio [OR], 3.510), had generalized ligament laxity (OR, 4.364) and engaged in occupations requiring high physical activity levels (OR, 4.421), including soldiers, professional athletes, student-athletes and mailmen.

Conclusion

The incidence of multiple post-operative re-sprains was high after suture tape implantation for ATFL insufficiency. Caution is particularly warranted in patients with risk factors, necessitating meticulous attention to their care. Careful consideration of strategies to mitigate risks when performing the surgery is also recommended.

Level of Evidence

Level III.

查看原文本刊更多论文

距骨胫骨前韧带损伤缝合带植入术后再次扭伤的高发率以及术后再次扭伤的风险因素。

目的：距腓前韧带（ATFL）功能不全包括以下情况：(i) 频繁扭伤导致 ATFL 缺失，术前磁共振成像无法显示 ATFL；或 (ii) 在切除腓骨下大孔后，用于修复的健康 ATFL 组织所剩无几。对于这些病例，可采用缝合带植入术，而不是传统的韧带修复术。本研究旨在调查因 ATFL 功能不全而接受缝合带植入术的患者术后再扭伤的发生率，并找出影响术后再扭伤发生的风险因素：回顾性评估2016年1月至2021年12月期间因ATFFL功能不全接受缝合带植入术的68例患者。纳入患者的最短随访时间为术后 2 年。根据随访期间是否出现术后再扭伤，将所有纳入患者分为两组。测量了多个临床放射学参数，并进行了二元逻辑回归分析，以确定影响术后再扭伤的因素：结果：68 例患者中有 19 例（27.9%）发生了术后再扭伤，7 例（10.3%）持续多次再扭伤。术后吸烟（几率比[OR]，3.510）、全身韧带松弛（OR，4.364）和从事需要大量体力活动的职业（OR，4.421）的患者更容易发生术后再扭伤，包括士兵、职业运动员、学生运动员和邮递员：结论：缝合带植入治疗ATFL功能不全术后多次再扭伤的发生率很高。对于有风险因素的患者，尤其需要谨慎，对他们的护理必须一丝不苟。建议在进行手术时仔细考虑降低风险的策略：证据等级：三级。

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

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).