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Suture Tape Augmentation in Lateral Ankle Ligament Surgery: Current Concepts Review. | LitMetric

AI Article Synopsis

  • - Chronic lateral ankle instability (CLAI) leads to ongoing disability and frequent ankle sprains and can require surgery if conservative treatments fail; traditional surgical methods often yield good results but may not work well for certain patients.
  • - There is interest in using synthetic ligaments and suture tape augmentation as potential enhancements for surgical repairs of CLAI, aiming to improve recovery times and prevent future instability.
  • - Due to the variety of surgical techniques and rehabilitation approaches used in treating CLAI, it's challenging to determine if suture tape augmentation significantly benefits patients, prompting a review of current methods and recent research for evidence-based guidance.

Article Abstract

Chronic lateral ankle instability (CLAI) is a condition that is characterized by persistent disability and recurrent ankle sprains while encompassing both functional and mechanical (laxity) instability. Failure of conservative treatment for CLAI often necessitates operative intervention to restore the stability of the ankle joint. The traditional or modified Broström techniques have been the gold standard operative approaches to address CLAI with satisfactory results; however, patients with generalized ligament laxity (GLL), prior unsuccessful repair, high body mass index, or high-demand athletes may experience suboptimal outcomes. Synthetic ligament constructs have been tested as an adjunct to orthopedic procedures to reinforce repaired or reconstructed ligaments or tendons with the hope of early mobilization, faster rehabilitation, and long-term prevention of instability. Suture tape augmentation is useful to address CLAI. Multiple operative techniques have been described. Because of the heterogeneity among the reported techniques and variability in postoperative rehabilitation protocols, it is difficult to evaluate whether the use of suture tape augmentation provides true clinical benefit in patients with CLAI. This review aims to provide a comprehensive outline of all the current techniques using suture tape augmentation for treatment of CLAI as well as present recent research aimed at guiding evidence-based protocols.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8532228PMC
http://dx.doi.org/10.1177/24730114211045978DOI Listing

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