Luxembourg Institute of Research
in Orthopedics, Sports Medicine and Science

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Bridge builder between research, clinical practice and sports.

We deliver scientific, economic and societal value for Luxembourg by performing research and development in the fields of sports medicine, sports science, sports surgery and sports rehabilitation, summarized as sports-related research.

UPCOMING EVENTS

30 Aug
02 Sep

The 27th Annual Congress of the European College of Sport Science

“Sport Science in the Heart of Arts” is the theme for the 2022 ECSS congress in Sevilla. Make the most of your time before or after the congress and admire the Guadalquivir River, various art forms, diverse cultures, the numerous historic quarters and above all, our people. We suggest that you make your travel arrangements to allow for time to explore this wonderful city and this region of Spain known as Andalucía. With affordable accommodation, summer weather and countless activities and sites to visit, you will have a memorable time. More information
14 Sep
16 Sep

Congrès national de médecine et traumatologie du sport

Après un congrès parisien qui a pu se tenir dans de bonnes conditions malgré le contexte sanitaire au beffroi de Montrouge, Les sociétés organisatrices, la Société française de médecine de l’exercice et du sport (SFMES) et la Société française de traumatologie du sport (SFTS) vous accueillent dans un endroit tout aussi sympathique dans le palais des congrès de Nancy. More information

LATEST NEWS & UPDATES

Anatomic reconstruction of lateral ankle ligaments: is there an optimal graft option?

Pietro Spennacchio, Romain Seil , Caroline Mouton, Sebastian Scheidt, Davide Cucchi 

Link to the article

Abstract

Purpose:

Different graft options are available for the reconstruction of lateral ankle ligaments to treat chronic ankle instability (CAI), which fall in two categories: allografts and autografts. This study aims to provide an updated comparison of the clinical outcomes after stabilisation procedures using allografts and autografts, to correctly advise the clinician during the choice of the best material to be used for the reconstruction of the lateral ligamentous complex of the ankle.

Methods:

A systematic review was performed to analyse the use of autografts and allografts for anatomic reconstruction of the lateral ligamentous complex of the ankle in CAI patients. The presence of a postoperative assessment through outcome measures with proofs of validation in the CAI population or patient's subjective evaluation on the treatment were necessary for inclusion. The quality of the included studies was assessed through the modified Coleman Methodology Score (mCMS). Relevant clinical outcome data were pooled to provide a synthetic description of the results in different groups or after different procedures.

Results:

Twenty-nine studies (autograft: 19; allograft: 9; both procedures: 1) accounting for 930 procedures (autograft: 616; allograft: 314) were included. The average mCMS was 55.9 ± 10.5 points. The Karlsson-Peterson scale was the most frequently reported outcome scale, showing a cumulative average post- to preoperative difference of 31.9 points in the autograft group (n = 379, 33.8 months follow-up) and of 35.7 points in the allograft group (n = 227, 25.8 months follow-up). Patient satisfaction was good or excellent in 92.8% of autograft (n = 333, 65.2 months follow-up) and in 92.3% of allograft procedures (n = 153, 25.0 months follow-up). Return to activity after surgery and recurrence of instability were variably reported across the studies with no clear differences between allograft and autograft highlighted by these outcomes.

Conclusions:

The systematic analysis of validated CAI outcome measures and the patient's subjective satisfaction does not support a specific choice between autograft and allograft for the reconstruction of the ankle lateral ligamentous complex in CAI patients. Both types of grafts were associated to a postoperative Karlsson-Peterson score superior to 80 points and to a similar rate of patient's subjective satisfaction.

Medial meniscus ramp and lateral meniscus posterior root lesions are present in more than a third of primary and revision ACL reconstructions

Cardiovascular Stress in Football Referees