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All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines
Shi-Ming Feng1, Nicola Maffulli2,3,4, C Niek van Dijk5,6,7,8
1Sports Medicine Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, NO.199 Jiefang South Road, Quanshan district, Xuzhou 221009, PR China.
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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