慢性外侧踝关节不稳的全关节镜手术：循证临床实践指南

All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines.

作者信息

Feng Shi-Ming, Maffulli Nicola, van Dijk C Niek, Xu Hai-Lin, Fehske Kai, Plaass Christian, Oliva Francesco, Karius Thomas, Gao Shun-Hong, Xu Wei, Bai Lu, Song Run-Lai, Hao Yue-Feng, Zhang Hui, Xu Yang-Bo, Zhang Ning, Lou Lei, Ren Tian-Tian, Wang Guo-Dong, Li Qi, Wu Jian-Hua, Zhu Yong-Zhan, Yin Gang, Wang Tong-Fu, Qin Jian-Zhong, Saxena Amol, Ma Chao

机构信息

Sports Medicine Department, Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, NO.199 Jiefang South Road, Quanshan district, Xuzhou 221009, PR China.

Department of Orthopaedics and Traumatology, University La Sapienza, Faculty of Medicine and Psychology, Via di Grottarossa, 00189, Rome, Italy.

出版信息

Br Med Bull. 2025 Apr 4;154(1). doi: 10.1093/bmb/ldaf001.

BACKGROUND

All-inside arthroscopic procedures are now frequently employed to manage chronic lateral ankle instability (CLAI) with satisfactory functional outcomes. Currently, no evidence-based guidelines exist for all-inside arthroscopic procedures for CLAI. Many surgical decisions remain uncertain and challenging.

SOURCES OF DATA

Published scientific literature in PubMed, MEDLINE, Web of Science, EMBASE, and Cochrane databases.

AREAS OF AGREEMENT

All-inside arthroscopic repair and reconstruction procedures are reliable treatments for CLAI.

AREAS OF CONTROVERSY

The all-inside arthroscopic procedures for CLAI present significant challenges, particularly in the following aspects.

GROWING POINTS

Given the lack of guidelines for the all-inside arthroscopic procedures for CLAI, this evidence-based clinical practice guideline provides 11 recommendations to address the controversy.

AREAS TIMELY FOR DEVELOPING RESEARCH

In patients with CLAI undergoing all-inside arthroscopic procedures, comparative studies are urgently needed to establish the optimal timing for weight-bearing, as well as return to work and sports.

背景

全关节镜手术目前常用于治疗慢性外侧踝关节不稳（CLAI），功能预后良好。目前，尚无针对CLAI全关节镜手术的循证指南。许多手术决策仍不确定且具有挑战性。

数据来源

PubMed、MEDLINE、科学网、EMBASE和Cochrane数据库中发表的科学文献。

共识领域

全关节镜修复和重建手术是治疗CLAI的可靠方法。

争议领域

CLAI的全关节镜手术面临重大挑战，尤其是在以下方面。

发展要点

鉴于缺乏CLAI全关节镜手术的指南，本循证临床实践指南提供了11条建议以解决争议。

亟待开展研究的领域

在接受全关节镜手术的CLAI患者中，迫切需要进行比较研究，以确定负重、恢复工作和运动的最佳时机。