Prospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 8893-8905
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8893
Arthroscopic anatomical reconstruction of lateral collateral ligaments with ligament advanced reinforcement system artificial ligament for chronic ankle instability
Yu Wang, Jun-Xu Zhu
Yu Wang, Jun-Xu Zhu, Department of Orthopaedics, The General Hospital of Northern Theater Command, Shenyang 110016, Liaoning Province, China
Jun-Xu Zhu, Department of Orthopaedics, Xiangyang Hospital of Traditional Chinese Medicine, Xiangyang 441000, Hubei Province, China
Author contributions: Zhu JX is the first author; Wang Y is the corresponding author.
Institutional review board statement: Ethical review (Scientific Research) No. S2021-036-09
Clinical trial registration statement: This study is registered at Clinical hospital center of The General Hospital of Northern Theater Command. The registration identification number is EP-13127/12-07. A separate document was uploaded as a proof of registry.
Informed consent statement: All study participants, or their legal guardian, provided written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declare that there is no conflict of interest.
Data sharing statement: There is no additional data available.
CONSORT 2010 statement: The authors have read the CONSORT Statement—checklist of items, and the manuscript was prepared and revised according to the CONSORT Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu Wang, BMed, Associate Chief Physician, Department of Orthopaedics, The General Hospital of Northern Theater Command, No. 83 Wenhua Road, Shenyang 110016, Liaoning Province, China. wangyu1983doc@qq.com
Received: September 29, 2021
Peer-review started: September 29, 2021
First decision: November 11, 2021
Revised: July 27, 2022
Article in press: July 27, 2022
Published online: September 6, 2022
Processing time: 330 Days and 16.9 Hours
ARTICLE HIGHLIGHTS
Research background

Ligament advanced reinforcement system (LARS), due to its mechanical properties, biocompatibility and unique weaving method showed good clinical performance with low postoperative complication rates and early rehabilitation and has long been held in good grace by orthopedists. At present, it is widely used in the reconstruction of anterior and posterior cruciate ligaments of knee joints. However, there have been a few reports about the use of artificial ligament for lateral collateral ligament reconstruction of the ankle. Based on the results of our study, we believe that an All-arthroscopic anatomical reconstruction of the lateral collateral ankle ligament with LARS artificial ligament achieves a satisfactory surgical outcome for chronic ankle instability.

Research motivation

To determine the safety and efficacy of all-arthroscopic anatomical reconstruction of ankle joint lateral collateral ligament with LARS artificial ligament for chronic ankle instability

Research objectives

To evaluate the clinical results of all-arthroscopic anatomical reconstruction of ankle joint lateral collateral ligaments with the LARS artificial ligament for chronic ankle instability.

Research methods

We used LARS artificial ligament on lateral collateral ankle ligament reconstruction combined with an all-arthroscopic operation and propose that anatomical reconstruction of the lateral collateral ligaments with LARS artificial ligament can achieve a satisfactory surgical outcome for chronic ankle instability.

Research results

No patient was found to have excessive generalized joint laxity. Patients reported that they were satisfied or very satisfied with the procedure in 21 cases (95%). The results of the patients were excellent (AOFAS score 95, Karlsson score 97 and VAS score 0.9).

Research conclusions

All-arthroscopic anatomical reconstruction of the lateral collateral ankle ligament with LARS artificial ligament achieves a satisfactory surgical outcome for chronic ankle instability.

Research perspectives

Although there are precedents for ankle ligament reconstruction with artificial ligaments, our arthroscopic exercises and biomechanical studies on cadaveric models will also be carried out in an orderly manner.