Long-term Evaluation of Sports Activity in Patients Whose Ankle Was Treated by Anatomical Reconstruction or Arthroscopic Repair Following Chronic Lateral Instability

Long-term Evaluation of Sports Activity in Patients Whose Ankle Was Treated by Anatomical Reconstruction or Arthroscopic Repair Following Chronic Lateral Instability

The goal of this clinical trial is to compare at 5 years the sporting activity of patients whose ankle had been treated by reconstruction or repair following chronic lateral instability. The main question it aims to answer is:

What is the long-term sporting activity status of patients whose ankle had been treated by reconstruction or repair following chronic lateral instability ?

Participants will visit the clinic once every year during 5 years for clinical checkup.

Inclusion Criteria:

• Patient, male or female, aged ≥ 18 years
• Patient with chronic ankle instability defined by:
• A history of trauma including a severe ankle sprain.
• Clinical symptoms persisting for at least 3 months at the time of inclusion: pain, swelling, sensation of 'giving way', sensation of instability, recurrent sprains; Clinical tests (drawer test, varus provocation test) confirming grade III laxity; Imaging results (MRI) confirming clinically suspected ligament damage.
• Patient affiliated to or benefiting from a social security scheme
• French-speaking patient who has signed an informed consent form

Exclusion Criteria:

• Patient with deltoid ligament injury, severe fracture or open trauma
• Patient with insufficient ligament remnant and/or in too poor a condition to allow Broström-type repair.
• Patient with a symptomatic osteochondral lesion
• Patient with ankle hyperlaxity (Beighton score > 3)
• Patient with early ankle arthropathy (Takakura arthritis classification ≥ stage 3)
• Patient with neuromuscular disorders, systemic inflammatory disorders or tumours.
• Patient requiring surgery on both ankles
• Patients with a bony deformity of the ankle or foot on the affected side;
• Patients with professional athlete status
• Patient already included in another study
• Protected patient: adult under guardianship, curatorship or other legal protection, deprived of liberty by judicial or administrative decision