Heightened Revision Risk After Ankle Ligament Repair in Patients With Ehlers-Danlos Syndrome or Hypermobility Spectrum Disorder: A Propensity-Matched National Database Study
This study highlights the significant challenges in surgical management of ankle instability in patients with EDS and HSD. The risk of surgical failure increases over time, with a 3.1-fold increase in revision surgery rates at 5 years postoperatively compared with matched controls. These findings emphasize the need for specialized surgical approaches and comprehensive perioperative care to address the unique risks in this population. Future work should compare specific repair techniques and graft choices in this high-risk cohort.
Authors
- Brett D. Owens (ORCID: https://orcid.org/0000-0002-9972-0096)
- Raymond Y. Hsu (ORCID: https://orcid.org/0000-0002-2095-8748)
- John Milner
- Alan H. Daniels (ORCID: https://orcid.org/0000-0001-9597-4139)
- Stephen Marcaccio (ORCID: https://orcid.org/0000-0003-2766-327X)
- Timothy A. Reiad (ORCID: https://orcid.org/0009-0003-0408-5259)
- Alexa Bosco (ORCID: https://orcid.org/0009-0004-1883-9346)
- Jacob M. Johnson
- Peter V Dinh
- David Bruni (ORCID: https://orcid.org/0000-0003-1229-1952)
Institutions
- Providence College (US)
- Brown University (US)
- University Orthopedics Center (US)
Publication Details
- Journal
- Foot & Ankle International
- Published
- 2025-09-15
- DOI
- https://doi.org/10.1177/10711007251363246
- Primary Topic
- Tendon Structure and Treatment
- Type
- article
- Field-Weighted Citation Impact
- 0.00