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

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; van Dijk, C Niek; Xu, Hai-Lin; Fehske, Kai; 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

Abstract

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. Published scientific literature in PubMed, MEDLINE, Web of Science, EMBASE, and Cochrane databases. All-inside arthroscopic repair and reconstruction procedures are reliable treatments for CLAI. The all-inside arthroscopic procedures for CLAI present significant challenges, particularly in the following aspects. 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. 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. [Abstract copyright: © The Author(s) 2025. Published by Oxford University Press.]

Citation

Feng, S.-M., Maffulli, N., van Dijk, C. N., Xu, H.-L., Fehske, K., Plaass, C., Oliva, F., Karius, T., Gao, S.-H., Xu, W., Bai, L., Song, R.-L., Hao, Y.-F., Zhang, H., Xu, Y.-B., Zhang, N., Lou, L., Ren, T.-T., Wang, G.-D., Li, Q., …Ma, C. (2025). All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines. British Medical Bulletin, 154(1), Article ldaf001. https://doi.org/10.1093/bmb/ldaf001

• Journal Article Type: Article
• Acceptance Date: Mar 7, 2025
• Online Publication Date: Apr 4, 2025
• Publication Date: Apr 4, 2025
• Deposit Date: Apr 22, 2025
• Publicly Available Date: Apr 22, 2025
• Journal: British medical bulletin
• Print ISSN: 0007-1420
• Electronic ISSN: 1471-8391
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 154
• Issue: 1
• Article Number: ldaf001
• DOI: https://doi.org/10.1093/bmb/ldaf001
• Keywords: Practice Guidelines as Topic, Humans, Chronic Disease, guidelines, Joint Instability - surgery, Ankle Joint - surgery, chronic lateral ankle instability, arthroscopic management, Arthroscopy - methods - standards, Evidence-Based Medicine
• Public URL: https://keele-repository.worktribe.com/output/1198001
• Publisher URL: https://academic.oup.com/bmb/article/154/1/ldaf001/8106339