Keyhole vs open surgery for ankle instability: which works better?
NCT ID NCT02998333
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at two surgical techniques to treat chronic ankle instability—a condition where the ankle gives way repeatedly after a sprain. Researchers compared a newer keyhole (arthroscopic) method with the traditional open surgery in 41 adults. The goal was to see which approach leads to better function and less pain six months after surgery.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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41 people
The number who actually took part.
- Started
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Jan 2017
- Finished
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Mar 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients are 18 years or older; * Experience pain and/or a sensation of instability during sports and/or daily activity; * Isolated lateral ankle instability; * Planned for surgical repair of the ATFL; * At least one previous episode of an ankle inversion sprain; * Complaints for at least 6 months; * Failed previous conservative treatment. Exclusion Criteria: * Serious concomitant injury (like arthrosis, ruled out using an AP and lateral x-ray according to standard protocol); * Foot or ankle fracture in past; * Previous foot or ankle surgery; * ROM restriction of \>10 degrees; * Medial instability; * Severe misalignment; * Ankle/foot deformities (e.g. severe flat foot); * Systemic comorbidity leading to delayed recovery (e.g. Diabetes Mellitus, Rheumatoid Arthritis) * (general) Hyper laxity * Inability or unwillingness to provide consent * Present factors that may cause difficulty of follow-up
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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AMC
Amsterdam, 1105 AZ, Netherlands
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Centro Hospitalar Povoa deVarzim
Porto, Portugal
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Site Hôpital orthopédique
Lausanne, Switzerland
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