All-inside arthroscopic procedures for chronic lateral ankle instability: evidence-based clinical practice guidelines

Abstract Background All-inside arthroscopic procedures are now frequently employed to manage chronic lateral ankle instability (CLAI) with satisfactory functional outcomes. Currently, no evidence-based guidelines exist for all-inside arthroscopic procedures for CLAI. Many surgical decisions remain uncertain and challenging. Sources of data Published scientific literature in PubMed, MEDLINE, Web of Science, EMBASE, and Cochrane databases. Areas of agreement All-inside arthroscopic repair and reconstruction procedures are reliable treatments for CLAI. Areas of controversy The all-inside arthroscopic procedures for CLAI present significant challenges, particularly in the following aspects: Growing points Given the lack of guidelines for the all-inside arthroscopic procedures for CLAI, this evidence-based clinical practice guideline provides 11 recommendations to address the controversy. Areas timely for developing research In patients with CLAI undergoing all-inside arthroscopic procedures, comparative studies are urgently needed to establish the optimal timing for weight-bearing, as well as return to work and sports.