Raja Balgovind S, Gowda Aditya K S, Bhagat Saroj Kumar, Thomas Watson, Meena Pradeep Kumar
Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India.
Department of Orthopaedics, Department of Atomic Energy Hospital, Kalpakkam, India.
J Clin Orthop Trauma. 2023 Jul 27;43:102227. doi: 10.1016/j.jcot.2023.102227. eCollection 2023 Aug.
Anatomic reconstruction using grafts is being performed more frequently in athletes experiencing recurrent chronic lateral ankle instability (CLAI). The purpose of the study was to systematically review the current literature to determine the rates of return to sports (RTS) along with timing in patients with CLAI undergoing ligament reconstruction.
The databases PubMed, Scopus, Cochrane, and Embase were searched based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Articles quoting on the return to sports rate after lateral ankle reconstruction were included. The rates of return to any sports, return to pre-injury sports, and return to competitive sports along with the timing of return were evaluated and a proportion meta-analysis was performed.
A total of 720 patients in 20 studies met our inclusion criteria. The RTS rates for any sports were 95.3%, and 84.3% for pre-injury sports The average time taken for return to sports was 17 weeks. Postoperative functional outcomes, ankle stability, and ROM were significantly improved in comparison to preoperative status.
The RTS rates following lateral ankle reconstruction in CLAI showed a high return to any sports, but moderate to high rates for the pre-injury or competitive level of sports.
Level of evidence II.
在复发性慢性外侧踝关节不稳（CLAI）的运动员中，使用移植物进行解剖重建的情况越来越普遍。本研究的目的是系统回顾当前文献，以确定CLAI患者进行韧带重建后的运动恢复率（RTS）及其时间。
根据PRISMA（系统评价和Meta分析的首选报告项目）指南检索PubMed、Scopus、Cochrane和Embase数据库。纳入引用外侧踝关节重建后运动恢复率的文章。评估了任何运动的恢复率、伤前运动的恢复率、竞技运动的恢复率以及恢复时间，并进行了比例Meta分析。
20项研究中的720例患者符合我们的纳入标准。任何运动的RTS率为95.3%，伤前运动的RTS率为84.3%。恢复运动的平均时间为17周。与术前状态相比，术后功能结果、踝关节稳定性和活动范围均有显著改善。
CLAI患者外侧踝关节重建后的RTS率显示，任何运动的恢复率都很高，但伤前或竞技水平运动的恢复率为中度到高度。
证据水平II。
