2021 ISAKOS Biennial Congress ePoster
Return to Sports and Clinical Outcomes in Suture-Tape Augmentation for Ankle Instability – A Systematic Review
Ajay C Kanakamedala, MD, New York, NY UNITED STATES
Nathaniel P Mercer, MS, New York, NY UNITED STATES
Alan P. Samsonov, BS, New York, NY UNITED STATES
Eoghan T. Hurley, MB, BCh, MCh, Dubline, Dublin IRELAND
Raymond J. Walls, MD, FRCS(Tr&Orth), FAAOS, Staten Island, NY UNITED STATES
John G. Kennedy, MD, FRCS, New York, NY UNITED STATES
NYU Langone Health, New York, NY, UNITED STATES
FDA Status Cleared
Summary
Our study supports the role of suture-tape augmentation in ATFL repair for athletes and patients with poor quality native ATFL tissue, as return to play was the single most important advantage of the suture-tape augmentation procedure.
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Abstract
Purpose
The purpose of this systematic review is to evaluate the evidence for the use of suture-tape augmentation in the treatment of CLAI, and the outcomes following this technique.
Methods
A literature search was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were included if they evaluated the use of suture-tape for CLAI. Quantitative and qualitative analysis was performed.
Results
There were 11 studies (LOE II: 2, LOE III: 1, LOE IV: 8) with 334 patients and 334 ankles, and 66.7% were females. The mean age of patients was 27.3 years. The mean follow-up was 27.6 months (range: 11.5-38.5). The mean weighted AOFAS score was 95, and 87.7% were able to return to sport. Overall, 9 recurrent instability events (4.1%) were reported for suture-tape augmentation, with no significant difference between Modified Broström repair and suture-tape augmentation (MD; .81, 95% CI, .19, 3.50, I2 = 0%, p = 0.78). There was no significant difference in the FAAM score between Modified Broström repair and suture-tape augmentation (MD; 1.24, 95% CI, -3.73, 6.21, I2 = 66%, p = 0.63). There was no significant difference in talar tilt angle (TTA) improvement between Modified Broström repair and suture-tape augmentation (MD; -0.07, 95% CI, -0.68, 60.54, I2 = 0%, p = 0.82). There was no significant difference in anterior talar translation (ATT) improvement between Modified Broström repair and suture-tape augmentation (MD; -0.06, 95% CI, -0.69, 0.56, I2 = 0%, p = 0.84).
Conclusion
Suture-tape augmentation did not significantly improve clinical or radiological outcomes in the setting of Modified Broström repair for CLAI. Quicker return to play was the single most important advantage of the suture-tape augmentation procedure identified in the current study. This indicates that there is a role for suture-tape augmentation in ATFL repair for athletes and high-demand patients.