Comparison of Short‐Term Efficacy Between Arthroscopic Broström Repair With and Without Suture Tape Augmentation for Acute Anterior Talofibular Ligament Tears

Background Acute anterior talofibular ligament (ATFL) tears frequently cause chronic ankle instability (CAI). Arthroscopic Broström repair (ABR) is effective, but outcomes may be inferior in cases with poor tissue quality. Suture tape (ST) augmentation has been introduced to improve biomechanical stability, especially for compromised tissue. Although arthroscopic Broström repair with suture tape augmentation (ABR‐ST) versus ABR have been compared for CAI, their short‐term efficacy in acute ATFL tears remains understudied. This study compares outcomes (American Orthopaedic Foot VAS pain scores were used to quantify the degree of pain; the ATT and the TTA were used to assess the forward instability of the ankle joint and record the recovery time after surgery (RTS) of the two groups of patients and the occurrence of complications (such as infection, nerve damage, and thrombosis). Results Regardless of with or without ST augmentation, patients with good tissue quality (Group A) showed significantly higher postoperative AOFAS scores than those with poor tissue quality (Group B) ( p 0.05). Conclusion ABR and ABR‐ST augmentation can effectively improve clinical symptoms. Compared with Broström repair, the clinical efficacy of Broström repair with ST augmentation is better, and Broström repair with ST augmentation had a more significant effect on patients with poor tissue quality.