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

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Sports Medicine

Background:

• All-inside arthroscopic procedures are increasingly used for chronic lateral ankle instability (CLAI).
• Current management of CLAI lacks evidence-based guidelines for all-inside arthroscopic techniques.
• Surgical decisions for CLAI often present challenges and uncertainties.

Purpose of the Study:

• To provide evidence-based clinical practice guidelines for all-inside arthroscopic procedures in managing CLAI.
• To address controversies and uncertainties in surgical decision-making for CLAI.
• To offer 11 recommendations for the optimal management of CLAI.

Main Methods:

• Systematic review of published scientific literature.
• Literature search conducted across major databases: PubMed, MEDLINE, Web of Science, EMBASE, and Cochrane.
• Evidence-based approach to guideline development.

Main Results:

• All-inside arthroscopic repair and reconstruction are reliable treatments for CLAI.
• Significant challenges exist in performing all-inside arthroscopic procedures for CLAI.
• The guideline addresses key areas of controversy in CLAI management.

Conclusions:

• The guideline provides 11 recommendations to address controversies in all-inside arthroscopic procedures for CLAI.
• Comparative studies are needed to determine optimal weight-bearing and return-to-activity timelines post-surgery for CLAI.
• Standardized guidelines are crucial for consistent and effective CLAI treatment.