Abstract

PurposeTo introduce an all inside arthroscopic stabilization for the lateral instability of the ankle and clarify the effects on earlier return to activity and improvement of subjective clinical score (SAFE-Q). MethodsBetween April 2017 and April 2019, 75 ankles in 59 athletes underwent surgery to repair the lateral ligament of the ankle with all-inside arthroscopic repair using modified lasso-loop stitch technique; including 27 that underwent bilateral simultaneous surgery excluding simultaneous procedures for other pathologies. ResultsThe average time elapsed after surgery for walking, jogging, full athletic activities was 1.6±2.5, 16.9±3.7 and 42.4±19.3 days respectively. There was no statistically significant difference between the unilateral surgery and the bilateral simultaneous surgery groups. All subscales of the SAFE-Q before surgery and at 12 months after surgery were statistically significantly improved. ConclusionThe all-inside arthroscopic repair with modified lasso-loop stitch following an accelerated rehabilitation for lateral instability of the ankle in athletes provides an effective treatment to facilitate early return to athletic activities.

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