Hôpital Ambroise Paré, Boulogne, France.
Hôpital Ambroise Paré, Boulogne, France.
Orthop Traumatol Surg Res. 2022 Nov;108(7):103398. doi: 10.1016/j.otsr.2022.103398. Epub 2022 Sep 6.
Arthroscopic surgery for treating ankle instability is increasingly popular. Several studies showed similar functional outcomes to those seen after open surgery, with no increase in complications. The objective of this study was to evaluate the return-to-sports (RTS) rate and time after arthroscopic surgery to treat chronic lateral ankle instability.
The rate and time of RTS are satisfactory after arthroscopic surgery to treat chronic lateral ankle instability.
This single-centre retrospective study included patients managed arthroscopically for chronic lateral ankle instability, with no other procedures, between February 2014 and May 2017. We evaluated the time and rate of RTS, as well as factors associated with RTS such as motivation, athletic level before surgery and whether the injury was work-related. Follow-up was at least 1 year.
Of the 40 included patients, 30 (75%) returned to their main sport, after a median of 6 months. Moreover, 22 (55%) patients resumed their main sport at the same or a higher level within 12 months after surgery, their median postoperative follow-up being 29 months (range, 13-61). The AOFAS score improved significantly, from 67 (30-90) before surgery to 88.5 (39-100) at last follow-up (p<0.001). The numerical pain score decreased significantly between these two timepoints, from 6 (0-10) to 1 (0-10) (p<0.001). By multivariate analysis, a high level of motivation before surgery was the main factor significantly associated with RTS at the same or a higher level within 12 months after surgery (odds ratio, 16.47; 95%CI, 3.33-81.20; p=0.007). Persistent pain was more common in patients with work-related injuries (p=0.016).
At 12 months, the RTS rate was 75% overall, with 55% of patients returning to the same or a higher level. Median time to RTS was 6 months (4-8). Both the rate of and the time to RTS were independently associated with greater preoperative motivation.
IV, retrospective observational cohort study.
关节镜手术治疗踝关节不稳定越来越受欢迎。几项研究表明，其功能结果与开放性手术相似，且并发症没有增加。本研究的目的是评估关节镜治疗慢性外侧踝关节不稳定后的重返运动（RTS）率和时间。
关节镜治疗慢性外侧踝关节不稳定后，RTS 的率和时间是令人满意的。
这项单中心回顾性研究纳入了 2014 年 2 月至 2017 年 5 月期间接受关节镜治疗慢性外侧踝关节不稳定且无其他手术的患者。我们评估了 RTS 的时间和率，以及与 RTS 相关的因素，如动机、术前运动水平以及损伤是否与工作有关。随访至少 1 年。
40 例患者中，30 例（75%）在中位数为 6 个月后重返主要运动项目。此外，22 例（55%）患者在术后 12 个月内以相同或更高的水平恢复主要运动项目，他们的中位术后随访时间为 29 个月（范围为 13-61 个月）。AOFAS 评分从术前的 67（30-90）显著提高到末次随访时的 88.5（39-100）（p<0.001）。数字疼痛评分在这两个时间点之间显著下降，从 6（0-10）降至 1（0-10）（p<0.001）。多变量分析显示，术前较高的动机水平是术后 12 个月内以相同或更高水平恢复运动的主要因素（比值比，16.47；95%CI，3.33-81.20；p=0.007）。与非工作相关损伤相比，与工作相关的损伤更常见持续性疼痛（p=0.016）。
12 个月时，总体 RTS 率为 75%，55%的患者恢复到相同或更高的水平。RTS 的中位时间为 6 个月（4-8 个月）。RTS 的率和时间均与术前较高的动机独立相关。
IV，回顾性观察队列研究。
