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Use of Ankle-GO to Assess and Predict Return to Sport After Lateral Ankle Reconstruction for Chronic Ankle Instability.

作者信息

Hardy Alexandre, Freiha Kinan, Moussa Mohamad K, Valentin Eugénie, Rauline Gauthier, Alvino Kylian, Fourchet Francois, Picot Brice, Lopes Ronny

机构信息

Clinique du Sport Paris, Paris, France.

French Society of Sports Physical Therapy (SFMKS Lab), Pierrefitte sur Seine, France.

出版信息

Orthop J Sports Med. 2025 Mar 21;13(3):23259671251322903. doi: 10.1177/23259671251322903. eCollection 2025 Mar.


DOI:10.1177/23259671251322903
PMID:40124190
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11930476/
Abstract

BACKGROUND: Chronic ankle instability (CAI) develops in 20% to 40% of patients after ankle sprains because of inappropriate management or a premature return to sports (RTS). Patients become candidates for surgery when nonoperative treatment fails. The results of arthroscopic lateral ligament reconstruction have been shown to be excellent. However, there is no consensus on the RTS criteria in these cases. The Ankle-GO score, which has been validated in lateral ankle sprains, is an evidence-based protocol for RTS. PURPOSE: To evaluate the discriminant and predictive capacity of the Ankle-GO score for RTS after arthroscopic lateral ankle reconstruction. STUDY DESIGN: Cohort study. Level of evidence, 2. METHODS: This prospective multicenter cohort study, conducted between January 2022 and January 2023, evaluated patients with CAI who underwent arthroscopic anatomic lateral ankle ligament reconstruction using gracilis tendon autografts or allografts. The RTS rates at 4 and 6 months postoperatively were the primary and secondary outcomes, respectively. The evaluated variable at both timelines was the Ankle-GO score-a composite of 4 functional tests and 3 questionnaires. The study determined the discriminant validity of the Ankle-GO score for RTS at each timeline-Ankle-GO scores at 4 months for RTS at 4 months; Ankle-GO scores at 6 months for RTS at 6 months. The predictive capacity of the Ankle-GO score at 4 months for RTS at 6 months was also evaluated. RESULTS: A total of 51 patients, with a mean age of 32.8 years, were included, of whom 23 (45%) had returned to sports at 4 months and 39 (76.5%) at 6 months. The mean Ankle-GO score was significantly higher in the group that returned to sports than in the group that did not (12 ± 4.7 vs 8.8 ± 4.7 at 4 months, respectively, = .003; 16.8 ± 3.6 vs 11.3 ± 4.8 at 6 months, respectively, = .002).The predictive capacity of the Ankle-GO score at 4 months for RTS at 6 months was good, with an area under the curve of 0.74 (95% CI, 0.58-0.90; = .005). The optimal threshold was 6 (sensitivity, 95%; specificity, 50%). The odds ratio of RTS when surpassing the Ankle-GO cutoff score was 18.5 (95% CI, 3-113.95; = .002). CONCLUSION: The Ankle-GO score is effective in discriminating the RTS status at 4 and 6 months after lateral ligament reconstruction of the ankle. In addition, the Ankle-GO score at 4 months was also moderately predictive of RTS at 6 months after surgery.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/11930476/02b709c9fbbe/10.1177_23259671251322903-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/11930476/00051efba636/10.1177_23259671251322903-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/11930476/02b709c9fbbe/10.1177_23259671251322903-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/11930476/00051efba636/10.1177_23259671251322903-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec2b/11930476/02b709c9fbbe/10.1177_23259671251322903-fig2.jpg

相似文献

[1]
Use of Ankle-GO to Assess and Predict Return to Sport After Lateral Ankle Reconstruction for Chronic Ankle Instability.

Orthop J Sports Med. 2025-3-21

[2]
Indicators of Return to Sports at Preinjury Levels Following Surgery for Chronic Ankle Instability: Comparison of ALR-RSI, AOFAS, and Karlsson Scores.

Orthop J Sports Med. 2025-1-13

[3]
Validation of a Composite Outcome Score for Assessing Return to Sports After Achilles Tendon Repair.

Am J Sports Med. 2025-6

[4]
High return to sports and return to work rates after anatomic lateral ankle ligament reconstruction with tendon autograft for isolated chronic lateral ankle instability.

Knee Surg Sports Traumatol Arthrosc. 2022-11

[5]
Return to sport and satisfaction after arthroscopic anatomic reconstruction of the lateral ligaments of the ankle in athletes.

Orthop Traumatol Surg Res. 2025-6

[6]
Development and Validation of the Ankle-GO Score for Discriminating and Predicting Return-to-Sport Outcomes After Lateral Ankle Sprain.

Sports Health. 2024

[7]
Return to sports: Rate and time after arthroscopic surgery for chronic lateral ankle instability.

Orthop Traumatol Surg Res. 2022-11

[8]
Return to Sport After Anatomic Lateral Ankle Stabilization Surgery for Chronic Ankle Instability: A Systematic Review and Meta-analysis.

Am J Sports Med. 2024-2

[9]
Return to Sport Composite Test After Anterior Cruciate Ligament Reconstruction (K-STARTS): Factors Affecting Return to Sport Test Score in a Retrospective Analysis of 676 Patients.

Sports Health. 2021

[10]
Both Open and Arthroscopic All-Inside Anatomic Reconstruction With Autologous Gracilis Tendon Restore Ankle Stability in Patients With Chronic Lateral Ankle Instability.

Arthroscopy. 2023-4

本文引用的文献

[1]
Development and Validation of the Ankle-GO Score for Discriminating and Predicting Return-to-Sport Outcomes After Lateral Ankle Sprain.

Sports Health. 2024

[2]
MRI in Acute Ankle Sprains: Should We Be More Aggressive with Indications?

Foot Ankle Clin. 2023-6

[3]
Are Prospective Criteria or Objective Clinical Measures Utilized in Return to Play (RTP) Decision Making After Ankle Surgery? A Scoping Review.

Foot Ankle Orthop. 2023-3-29

[4]
Return to sports: Rate and time after arthroscopic surgery for chronic lateral ankle instability.

Orthop Traumatol Surg Res. 2022-11

[5]
Which Functional Tests and Self-Reported Questionnaires Can Help Clinicians Make Valid Return to Sport Decisions in Patients With Chronic Ankle Instability? A Narrative Review and Expert Opinion.

Front Sports Act Living. 2022-5-26

[6]
Ankle Instability.

Foot Ankle Clin. 2022-6

[7]
Lateral Ankle Sprain and Chronic Ankle Instability.

Foot Ankle Orthop. 2019-6-13

[8]
The ALR-RSI score is a valid and reproducible scale to assess psychological readiness before returning to sport after modified Broström-Gould procedure.

Knee Surg Sports Traumatol Arthrosc. 2022-7

[9]
Return to sport decisions after an acute lateral ankle sprain injury: introducing the PAASS framework-an international multidisciplinary consensus.

Br J Sports Med. 2021-11

[10]
Chronic Lateral Ankle Instability: Topical Review.

Foot Ankle Int. 2020-12

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