摘要
目的评价小切口距腓前韧带重建合并伸肌支持带加强术治疗慢性踝关节外侧不稳定临床效果。方法收集联勤保障第九○○医院2016年1月—2018年6月42例慢性踝关节外侧不稳定患者,行踝关节镜探查清理后,进行小切口距腓前韧带重建和并伸肌支持带加强术治疗。比较术前、术后踝关节功能评分,评价该术式的治疗效果。结果42例患者术后踝关节功能评分明显高于术前,差异有高度统计学意义(P<0.01)。随访期间未发现踝关节不稳复发,无患者主诉术后仍有不稳定感。结论小切口距腓前韧带重建合并伸肌支持带加强术,能改善踝关节不稳症状,减少踝关节不稳复发,提高踝关节功能,是治疗踝关节外侧不稳定的有效术式。
Objective To evaluate the clinical effect of small incision reconstruction of the anterior talofibular ligament combined with extensor support band enhancement in the treatment of chronic anterolateral instability of the ankle joint.Methods A total of 42 patients with chronic ankle instability from January 2016 to June 2018 were collected from the 900th Hospital of Joint Logistics Support Force.After ankle arthroscopy was conducted,reconstruction of the anterior talofibular ligament through a small incision and reinforcement of the extensor support band were performed.Preoperative and postoperative ankle function scores were compared to evaluate the therapeutic effect of this operation.Results The postoperative ankle functional scores of 42 patients was significantly higher than that before surgery,and the difference was highly statistically significant(P<0.01).No recurrence of ankle instability was found during the follow-up period,and no patient still felt unstable after chief complaint.Conclusion Anterior talofibular ligament reconstruction and extensor band reinforcement can improve ankle instability,reduce the recurrence of ankle instability,and improve the function of ankle.It is an effective operation to treat lateral ankle instability.
作者
肖杰
王万明
韩雪松
XIAO Jie;WANG Wanming;HAN Xuesong(The Second Department of Orthopaedics,900th Hospital of Joint Logistics Support Force,Fujian Province,Fuzhou 350025,China)
出处
《中国医药导报》
CAS
2020年第21期26-29,共4页
China Medical Herald
基金
福建省自然科学基金课题(2018J01356)。
关键词
距腓前韧带
韧带重建
慢性踝关节外侧不稳定
Anterior talofibular ligament
Ligament reconstruction
Chronic lateral ankle instability
