Suture tape augmentation versus modified Brostr?m repair in treating chronic lateral ankle instability: a meta-analysis
10.3760/cma.j.cn121113-20231212-00388
- VernacularTitle:缝合带增强与改良Brostr?m修复治疗慢性踝关节外侧不稳定的meta分析
- Author:
Guijun XU
1
;
Haomin LI
;
Jia WANG
;
Xiantie ZENG
Author Information
1. 天津市天津医院足踝外科，天津 300211
- Keywords:
Ankle injuries;
Ligaments;
Reconstructive surgical procedures;
Meta-analysis
- From:
Chinese Journal of Orthopaedics
2024;44(18):1224-1232
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy and safety of suture tape augmentation versus modified Brostr?m repair in the treatment of chronic lateral ankle instability.Methods:CNKI, Wanfang, Chinese Medical Journal full-text Database, PubMed, and Web of Science databases were searched for clinical studies comparing suture tape augmentation and modified Brostrom repair in the treatment of chronic lateral ankle instability. Meta-analysis was performed on the included studies. Fixed-effects models were used for analyses when heterogeneity between groups was small, and random-effects models were used when heterogeneity between groups was large. The quality of literature was assessed using the Modified Jadad Rating Scale for randomized controlled trials and the Newcastle-Ottawa Scale (NOS) for non-randomized controlled trials.Results:A total of 11 articles were included in the meta-analysis. There were 398 cases in the suture tape augmentation group and 404 cases in the modified Brostrom repair group. Meta-analysis showed no statistically significant differences between the two groups in postoperative pain visual analogue scores [ SMD=-0.19, 95% CI(-0.54, 0.16), P=0.282], talar tilt angle [ SMD=-0.37, 95% CI(-0.84, 0.11), P=0.128], and anterior displacement of the talus [ SMD=-0.61, 95% CI(-1.47, 0.24), P=0.220]. In the suture tape augmentation group, foot and ankle ability measure-daily living score[ SMD=0.70, 95% CI(0.01, 1.39), P=0.045], foot and ankle ability measure-movement score [ SMD=0.96, 95% CI(0.15, 1.77), P=0.020], foot and ankle outcome score-daily living score [ SMD=1.21, 95% CI(0.05, 2.36), P=0.040], foot and ankle outcome score-movement score [ SMD=1.60, 95% CI(0.11, 3.09), P=0.035] were greater than those in the modified Brostr?m repair group, and the incidence of recurrent postoperative instability was lower than that in the modified Brostr?m repair group [ RR=0.34, 95% CI(0.15, 0.76), P=0.008], the difference was statistically significant. Conclusion:Suture tape augmentation provides superior postoperative daily activity capacity and sports function compared to modified Brostr?m repair in the treatment of chronic lateral ankle instability. Additionally, the incidence of recurrent instability is lower in the suture tape augmentation group. No significant differences were observed between the two groups regarding to pain relief and radiological outcomes.
