Orthopaedic Department, Cochin University Hospital, AP-HP Paris, Paris Descartes University, 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.
Orthopaedic Department, Pied Cheville Nantes Atlantique (Santé Atlantique Et Clinique Bretéché), Nantes, France.
Knee Surg Sports Traumatol Arthrosc. 2020 Dec;28(12):4003-4010. doi: 10.1007/s00167-020-06020-6. Epub 2020 Apr 30.
Chronic ankle instability is the main complication of ankle sprains and requires surgery if non-operative treatment fails. The goal of this study was to validate a tool to quantify psychological readiness to return to sport after ankle ligament reconstruction.
The form was designed like the anterior cruciate ligament-return to sport after injury scale and "Knee" was replaced by the term "ankle". The ankle ligament reconstruction-return to sport after injury (ALR-RSI) scale was filled by patients who underwent ankle ligament reconstruction and were active in sports. The scale was then validated according to the international COSMIN methodology. The AOFAS and Karlsson scores were used as reference questionnaires.
Fifty-seven patients (59 ankles) were included, 27 women. The ALR-RSI scale was strongly correlated with the Karlsson score (r = 0.79 [0.66-0.87]) and the AOFAS score (r = 0.8 [0.66-0.87]). A highly significant difference was found in the ALR-RSI between the subgroup of 50 patients who returned to playing sport and the seven who did not: 68.8 (56.5-86.5) vs 45.0 (31.3-55.8), respectively, p = 0.02. The internal consistency of the scale was high (α = 0.96). Reproducibility of the test-retest was excellent (ρ = 0.92; 95% CI [0.86-0.96]).
The ALR-RSI is a valid, reproducible scale that identifies patients who are ready to return to the same sport after ankle ligament reconstruction. This scale may help to identify athletes who will find sport resumption difficult.
III.
慢性踝关节不稳定是踝关节扭伤的主要并发症，如果非手术治疗失败，则需要手术治疗。本研究的目的是验证一种工具，以量化踝关节韧带重建后重返运动的心理准备。
该表的设计类似于前交叉韧带损伤后重返运动量表，将“Knee”（膝关节）替换为“ankle”（踝关节）。接受踝关节韧带重建且积极参加运动的患者填写踝关节韧带重建后重返运动损伤量表（ALR-RSI）。然后根据国际 COSMIN 方法对该量表进行验证。AOFAS 和 Karlsson 评分被用作参考问卷。
共纳入 57 例（59 个踝关节）患者，其中 27 例为女性。ALR-RSI 量表与 Karlsson 评分（r=0.79 [0.66-0.87]）和 AOFAS 评分（r=0.8 [0.66-0.87]）高度相关。在返回运动的 50 例患者亚组和未返回运动的 7 例患者之间，ALR-RSI 差异具有统计学意义：分别为 68.8（56.5-86.5）和 45.0（31.3-55.8），p=0.02。该量表的内部一致性较高（α=0.96）。测试-重测的可重复性极好（ρ=0.92；95%CI [0.86-0.96]）。
ALR-RSI 是一种有效且可重复的量表，可识别踝关节韧带重建后准备重返同一项运动的患者。该量表可能有助于识别那些发现难以恢复运动的运动员。
III 级。
