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Updated: Jul 3, 2026
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
Arthroscopic vs. open Broström-Gould procedure for chronic lateral ankle instability: a systematic review and
Jianjun Liu1, Jun Wan1, Wenjing Zhang1
1Department of Orthopedic Surgery, Jiujiang University Affiliated Hospital, Jiujiang, China.
Background:
Chronic lateral ankle instability (CLAI) is a common complication of ankle sprains, and the Broström-Gould procedure is the preferred option. This study aimed to compare the short-term (with a mean follow-up period of 24 months) clinical efficacy and postoperative recovery rate between arthroscopic and open Broström-Gould surgery in patients with CLAI.
Methods:
The present study followed the PRISMA 2020 guidelines. PubMed, Embase, Cochrane Library, Web of Science were searched to 31 December 2025.Meta-analyses were performed using Review Manager (version5.3) for the following outcomes: surgery time, AOFAS scores, K-P scores, VAS scores, Tegner activity scores, Anterior drawer, Talar tilt, Return to sports, Total complication rates, Bias risk evaluation was performed applying the Cochrane Collaboration's Risk of Bias 2 (RoB2) tool and the Newcastle-Ottawa Scale (NOS).
Results:
14 studies (875 patients) met criteria, with 421 allocated to open and 454 to arthroscopic groups.There were no statistically significant differences in surgical time [mean difference [MD] = -5.33; 95% confidence interval [CI], -13.68 to 3.01; p = 0.21], AOFAS scores (MD = 0.36; 95% CI, -0.23 to 0.96; p = 0.23), Tegner activity scores (MD = 0.13; 95% CI, -0.10 to 0.36; p = 0.27), anterior drawer test (MD = -0.10; 95% CI, -0.23 to 0.03; p = 0.14), talar tilt (MD = -0.00; 95% CI, -0.51 to 0.51; p = 0.99) and all complication rates [odds ratio (OR) = 0.88; 95%CI, 0.55 to 1.41; p = 0.59]. The arthroscopy group achieved significantly better results in terms of K-P scores (MD = 0.78; 95% CI, 0.02 to 1.54, p = 0.04), VAS scores (MD = -0.65; 95% CI, -1.17 to -0.12, p = 0.02), and time to return to sports (MD = -3.91; 95% CI, -7.52 to -0.30; p = 0.03).
Conclusions:
Both techniques show broadly comparable outcomes, with possible earlier return to sport or less pain after arthroscopy, although the certainty of this finding is limited.
Level Of Evidence:
Level III, systematic review.This protocol has been registered in the PROSPERO database CRD420261298649.
