The use of a jaw-designed suture passer as compared to the Lasso-loop suture technique for arthroscopic treatment of chronic lateral ankle instability.

IF 1.6 4区 医学
Journal of Orthopaedic Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-24 DOI:10.1177/10225536251345185
Weiwei Mao, Zhigao Jin, Yong Zhang, Wei Li, Ying Zhu, Weiqi Kong, Ying Wang, Jianzhong Qin
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Abstract

PurposeThis study compares the clinical outcomes of the Lasso-loop and Jaw-designed suture passer techniques for arthroscopic treatment of chronic lateral ankle instability (CLAI) caused by anterior talofibular ligament (ATFL) injuries. We aimed to assess whether the Jaw-designed technique provides similar outcomes with reduced intraoperative stitch time.MethodsThis retrospective cohort study included 40 patients with CLAI, who underwent arthroscopic ligament repair between February 2019 and February 2022. They were divided into two groups: 20 treated with the Lasso-loop technique and 20 with the Jaw-designed suture passer. Functional outcomes were evaluated using the American Orthopaedic Foot and Ankle Society (AOFAS) scale, Karlsson Ankle Functional Score (KAFS), Tegner activity scale (TAS), and Visual Analog Scale (VAS) for pain. Intraoperative ligament stitch time was also recorded for both groups.ResultsBoth groups showed significant improvement in AOFAS, KAFS, TAS, and VAS scores from preoperative to final follow-up (p < .001). The mean intraoperative ligament stitch time was significantly shorter in the Jaw-designed group (9.1 min) compared to the Lasso-loop group (16.5 min) (p < .001). However, no significant differences in final functional outcomes (AOFAS, KAFS, TAS, and VAS scores) were observed between the two groups (p > .05).ConclusionThe Jaw-designed suture passer technique for repairing the ATFL in CLAI offers clinical outcomes comparable to the Lasso-loop technique, with the added benefits of a shorter suture time and simpler execution. This technique may be particularly beneficial for novice surgeons and can serve as a reliable alternative to the Lasso-loop suture technique in the arthroscopic repair of CLAI.

关节镜下治疗慢性外侧踝关节不稳采用下颌设计的缝合通道与套索-环缝合技术进行比较。
目的比较Lasso-loop和jaw设计的缝合传递技术在关节镜下治疗距腓骨前韧带(ATFL)损伤引起的慢性外侧踝关节不稳(CLAI)的临床效果。我们的目的是评估下颌设计的技术是否在减少术中缝合时间的情况下提供类似的结果。方法本回顾性队列研究包括40例CLAI患者,他们在2019年2月至2022年2月期间接受了关节镜韧带修复。他们被分为两组:20例采用套索环技术,20例采用下颌设计的缝合器。功能结果采用美国骨科足踝学会(AOFAS)量表、Karlsson踝关节功能评分(KAFS)、Tegner活动量表(TAS)和视觉模拟量表(VAS)评估疼痛。同时记录两组患者术中韧带缝合时间。结果两组患者的AOFAS、KAFS、TAS、VAS评分从术前到随访结束均有显著改善(p < 0.001)。与Lasso-loop组(16.5 min)相比,jaw -design组(9.1 min)的平均术中韧带缝合时间明显缩短(p < 0.001)。然而,两组之间的最终功能结局(AOFAS、KAFS、TAS和VAS评分)无显著差异(p < 0.05)。结论下颌设计的缝合传递技术修复CLAI中ATFL的临床效果与Lasso-loop技术相当,并且具有更短的缝合时间和更简单的操作。该技术对新手外科医生特别有益,可作为关节镜下CLAI修复中Lasso-loop缝合技术的可靠替代方法。
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来源期刊
自引率
0.00%
发文量
91
期刊介绍: Journal of Orthopaedic Surgery is an open access peer-reviewed journal publishing original reviews and research articles on all aspects of orthopaedic surgery. It is the official journal of the Asia Pacific Orthopaedic Association. The journal welcomes and will publish materials of a diverse nature, from basic science research to clinical trials and surgical techniques. The journal encourages contributions from all parts of the world, but special emphasis is given to research of particular relevance to the Asia Pacific region.
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