| Title | Clinical Guidelines for the Surgical Management of Chronic Lateral Ankle Instability: A Consensus Reached by Systematic Review of the Available Data |
| Authors | Song, Yujie Li, Hongyun Sun, Chao Zhang, Jian Gui, Jianchao Guo, Qinwei Song, Weidong Duan, Xiaojun Wang, Xiaoqin Wang, Xuesong Shi, Zhongming Hua, Yinghui Tang, Kanglai Chen, Shiyi Cai, Bin Murawski, Christopher D. Jiang, Dong Chang, Fei Yu, Guangrong Huang, Jiazhang Lee, Jin Woo Kennedy, John G. Xu, Hailin Song, Huanghe Chan, Kowk Bill Yu, Kehe Takao, Masato Zhang, Mingzhu van Dijk, Niek C. D'Hooghe, Pieter Ferkel, Richard D. Kong, Siu Wah Guillo, Stephane Lui, Tun Hing Dou, Xiaofan Gu, Xiaohui Ma, Xin Tao, Xu Tanaka, Yasuhito Zhu, Yuan Wang, Zhengyi Wang, Zhi |
| Affiliation | Fudan Univ, Huashan Hosp, Dept Sports Med, 12 Wulumuqi Zhong Rd, Shanghai 200041, Peoples R China Beijing Tongren Hosp, Beijing, Peoples R China Nanjing Med Univ, Affiliated Nanjing Hosp, Nanjing, Jiangsu, Peoples R China Peking Univ, Hosp 3, Beijing, Peoples R China Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Guangzhou, Guangdong, Peoples R China Army Med Univ, Southwest Hosp, Chongqing, Peoples R China Fudan Univ, Huashan Hosp, Shanghai, Peoples R China Beijing Jishuitan Hosp, Beijing, Peoples R China Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 6, Shanghai, Peoples R China Shanghai Jiao Tong Univ, Shanghai Peoples Hosp 9, Shanghai, Peoples R China Univ Pittsburgh, Sch Med, Pittsburgh, PA USA Jilin Univ, Affiliated Hosp 2, Changchun, Jilin, Peoples R China Tongji Univ, Tongji Hosp, Shanghai, Peoples R China Yonsei Univ, Coll Med, Seoul, South Korea Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA Beijing Univ, Peoples Hosp, Beijing, Peoples R China Nanjing Med Univ, Affiliated Hosp 1, Nanjing, Jiangsu, Peoples R China Virtus Med Grp, Hong Kong, Peoples R China Wenzhou Med Univ, Affiliated Hosp 2, Wenzhou, Peoples R China Clin & Res Inst Foot & Ankle Surg, Tokyo, Japan Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands Aspetar Hosp, Doha, Qatar Southern Calif Orthoped Inst, Van Nuys, CA USA Asia Med Specialists, Hong Kong, Peoples R China Ctr Orthopaed Sports Surg, Bordeaux, France North Dist Hosp, Hong Kong, Peoples R China Zhejiang Prov Peoples Hosp, Hangzhou, Zhejiang, Peoples R China Nara Med Univ, Dept Orthoped Surg, Nara, Japan Shanghai Jiao Tong Univ, Ruijin Hosp, Shanghai, Peoples R China Beijing Univ Chinese Med, Affiliated Hosp 3, Beijing, Peoples R China |
| Keywords | chronic lateral ankle instability surgical management guidelines |
| Issue Date | 2019 |
| Publisher | ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE |
| Abstract | Background: The surgical management of chronic lateral ankle instability (CLAI) has evolved since the 1930s, but for the past 50 years, the modified Brostrom technique of ligament repair has been the gold standard. However, with the development of arthroscopic techniques, significant variation remains regarding when and how CLAI is treated operatively, which graft is the optimal choice, and which other controversial factors should be considered. Purpose: To develop clinical guidelines on the surgical treatment of CLAI and provide standardized guidelines for indications, surgical techniques, rehabilitation strategies, and assessment measures for patients with CLAI. Study Design: A consensus statement of the Chinese Society of Sports Medicine. Methods: A total of 14 physicians were queried for their input on guidelines for the surgical management of CLAI. After 9 clinical topics were proposed, a comprehensive systematic search of the literature published since 1980 was performed for each topic through use of China Biology Medicine (CBM), China National Knowledge Infrastructure (CNKI), PubMed, Web of Science, EMBASE, and the Cochrane Library. The recommendations and statements were drafted, discussed, and finalized by all authors. The recommendations were graded as grade 1 (strong) or 2 (weak) based on the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) concept. Based on the input from 28 external specialists independent from the authors, the clinical guidelines were modified and finalized. Results: A total of 9 topics were covered with regard to the following clinical areas: surgical indications, surgical techniques, whether to address intra-articular lesions, rehabilitation strategies, and assessments. Among the 9 topics, 6 recommendations were rated as strong and 3 recommendations were rated as weak. Each topic included a statement about how the recommendation was graded. Conclusion: This guideline provides recommendations for the surgical management of CLAI based on the evidence. We believe that this guideline will provide a useful tool for physicians in the decision-making process for the surgical treatment of patients with CLAI. |
| URI | http://hdl.handle.net/20.500.11897/545359 |
| DOI | 10.1177/2325967119873852 |
| Indexed | SCI(E) |
| Appears in Collections: | 第三医院 人民医院 |
