Fastin rc 3.5 mm

With the patient supine, a 7-cm pillow was placed under the ipsilateral hip after induction of anesthesia. The affected leg was placed over the distal edge of the operating table, and a pneumatic tourniquet placed on the thigh was inflated to 300 mmHg after exsanguination of the limb.
Firstly, all the patients underwent arthroscopic evaluation and treatment before the ligament repair through standard anterolateral and anteromedial portals. For patients with OLTs, after debridement of the articular cartilage lesion and subchondral cyst, the OLT was carefully measured, and the microfracture was performed to promote revascularization of the lesion.
Subsequently, an accessory portal at the anterior margin of the tip of the fibula was established to examine the lateral ligament complex, and expose and freshen the anterior talofibular ligament footprint on the fibula. A double-loaded suture anchor (Fastin RC 3.5 mm, Smith & Nephew, Andover, MA) was inserted into the distal fibula at the mid-portion of the footprint region. The anterior talofibular ligament and the inferior extensor retinaculum were sutured as previously described [16 (link)]. With the operated ankle placed at 5° of eversion, the suture knot was tightened with a knot pusher.

Inclusion criteria were: (i) CLAI patients unresponsive to a minimum of 6 months of appropriately conducted conservative management, including rest, bracing, use of anti‐inflammatory drugs, proprioceptive and balance training, strengthening of the peroneal muscles, and physical therapy; (ii) received unilateral all‐inside arthroscopic Broström–Gould procedure with one suture anchor fixation (Fastin RC 3.5 mm, Smith & Nephew, Andover, MA) from January 2014 to January 2017; (iii) the suture arms of the anchor sutured in free‐edge suture fashion were considered as the comparison; (iv) complete surgical data and follow‐up outcomes and follow‐up time was not less than 24 months; (v) the study was designed as a retrospective cohort study.
Exclusion criteria were: (i) combined foot and ankle deformity, abnormal lower limb alignment, fracture, ankylosis, and other ligament injuries; (ii) combined central and peripheral neuromuscular disorders or ligamentous laxity; (iii) ankle osteoarthritis or other lesions in the joint (osteochondral lesions, impingement syndrome, Os subfibulare, sinus tarsi syndrome); (iv) previous ankle injury or surgery on the affected ankle, or secondary ankle injury during the follow‐up period.

Inclusion criteria were as follows: (1) CLAI treated with appropriate conservative management for over 6 months, but without improved symptoms; (2) unilateral ankle arthroscopic Broström-Gould procedure with one double-loaded suture anchor fixation (Fastin RC 3.5 mm, Smith & Nephew, Andover, MA); (3) no previous ankle ligament surgery, with no other ankle injury than the index one; (4) complete surgical and follow-up data, and follow-up for at least 24 months.
Exclusion criteria were as follows: (1) combined foot and ankle deformity, abnormal hindfoot alignment, ipsilateral fracture(s) of the foot and ankle, ankylosis and other ligament injuries; (2) combined central and peripheral neuromuscular disease or generalized ligament laxity; (3) ankle osteoarthritis or osteochondral injury requiring osteochondral transplantation; (4) severe underlying disease and inability to tolerate surgery.