摘要
目的:既往研究证实在机械性踝关节不稳患者中,距腓前韧带(anterior talofibular ligament,ATFL)和距腓后韧带(posterior talofibular ligament,PTFL)之间的夹角会明显升高。本研究的目的是评价踝关节外侧副韧带修补术对ATFL与PTFL夹角的影响。方法:35名机械性踝关节不稳患者纳入本研究。35名患者均在本院接受踝关节外侧副韧带修补术。所有患者均在术前、术后接受核磁共振(magnetic resonance imaging,MRI)检查,并比较术前与术后ATFL与PTFL夹角的差异。结果:所有患者平均随访时间15.2个月。其中18名为镜下韧带修补,17名为切开韧带修补术。观察者内部一致性和观察者之间一致性分别为0.854和0.819。术后ATFL和PTFL的夹角明显小于术前的夹角(84.7°±5.2°vs90.0°±5.5°,P<0.01)。结论:踝关节外侧副韧带修补术后,ATFL与PTFL的夹角明显减小。
Objective Previous research has confirmed that the angle between anterior talofibular ligament(ATFL) and posterior talofibular ligament(PTFL) increases in patients with chronic ankle ATFL injury. The purpose of this study is to evaluate the effect of lateral ankle ligament repair surgery on the ATFL-PTFL angle. Methods Thirty-five mechanical ankle instability(MAI) patients were selected and performed lateral ankle ligament repair in our hospital. Before and after the operation,all participants underwent magnetic resonance imaging and the ATFL–PTFL angle in the axial plane was measured and compared. Results The mean follow-up time was 15.2 months. Eighteen patients were performed arthroscopic ligament repair,while 17 were done open ligament repair. The intraclass correlation coefficient of intraobserver and interobserver reliability was 0.854 and 0.819,respectively. The mean ATFL–PTFL angle decreased significantly after the operation in MAI patients when compared with before the operation(84.7°±5.2° vs 90.0°±5.5°,P<0.01). Conclusion The ATFL-PTFL angle decreases after the ankle lateral ligament repair surgery.
作者
杨帆
李宏云
李宏
华英汇
陈世益
Yang Fan;Li Hongyun;Li Hong;Hua Yinghui;Chen Shiyi(Department of Foot and Ankle Surgery,Sanmenxia Central Hospital,Sanmenxia,He’nan 472000,China;Sports Medicine Institute of Fudan University,Department of Sports Medicine and Arthroscopy Surgery,Huashan Hospital,Shanghai 20040,China)
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2020年第9期678-681,共4页
Chinese Journal of Sports Medicine
关键词
踝
慢性不稳
修补
距腓前韧带
距腓后韧带
夹角
ankle
mechanical instability
repair
anterior talofibular ligament
posterior talofibular ligament
angle
