CAJ | 학술논문

目的介绍小切口取部分腓骨短肌腱解剖重建外侧副韧带治疗慢性踝关节外侧不稳的疗效.方法 11例慢性踝关节外侧不稳患者接受小切口取部分腓骨短肌腱解剖重建踝关节外侧副韧带的手术治疗,年龄16～42岁,平均27.6岁.术前病程4～32个月,平均10.3个月.术后定期行双侧踝关节对比稳定检查、应力位X线片及MRI检查,并按美国足踝外科协会(AOFAS)踝-后足功能评分表进行功能评分.结果 11例患者术后平均随访17.5个月(12～37个月).AOFAS踝-后足功能评分平均88.3分(72～96分),其中优6例(55%),良4例(36%),一般1例(9%).术后复查MRI证实重建韧带恢复良好.随访期间未发现踝关节不稳复发或其他并发症.结论小切口取部分腓骨短肌腱解剖重建踝关节外侧副韧带是治疗慢性踝关节外侧不稳一种安全、有效的方法.
목적 개소소절구취부분비골단기건해부중건외측부인대치료만성과관절외측불은적료효.방법 11례만성과관절외측불은환자접수소절구취부분비골단기건해부중건과관절외측부인대적수술치료,년령16～42세,평균27.6세.술전병정4～32개월,평균10.3개월.술후정기행쌍측과관절대비은정검사、응력위X선편급MRI검사,병안미국족과외과협회(AOFAS)과-후족공능평분표진행공능평분.결과 11례환자술후평균수방17.5개월(12～37개월).AOFAS과-후족공능평분평균88.3분(72～96분),기중우6례(55%),량4례(36%),일반1례(9%).술후복사MRI증실중건인대회복량호.수방기간미발현과관절불은복발혹기타병발증.결론 소절구취부분비골단기건해부중건과관절외측부인대시치료만성과관절외측불은일충안전、유효적방법.
Objective To describe a new technique with mini-open reconstruction of lateral ligaments of ankle with partial tendon of its peroneus brevis and evaluate its effect in treatment of chronic lateral ankle instability. Methods A total of 11 cases of chronic lateral ankle instability;at mean age of 27.6 years(16-42 years),were treated with mini-open reconstruction of the lateral ligaments of the ankle with partial tendon of its peroneus brevis.The mean delay between the initial episode of ankle sprain and the surgery was 10.3 months(4-32 months).Postoperatively,all cases were examined with MRI,stress X-rays and comparative stability of bilateral ankle inspection at clinical follow-up.The function of the ankle were evaluated bv American Orthopaedic Foot & Ankle Society (AOFAS)score and ankle-hind foot scale. Results The average duration of follow-up was 17.5 months(12-37 months).The mean AOFAS ankle-hindfoot score was 88.3 points(72-96 points)at the time of the latest follow-up,including excellent result in 6 cases(55%),good in 4(36%)and fair in 1(9%).MRI results showed that the ruptured lateral collateral ligaments of the ankle were repaired and remodeled very well in all patients.There was no recurrence of the ankle instability or other complications. Conclusion Mini-open reconstruction of the lateral ligaments of ankle with partial tendon of its peroneus brevis is safe and effective for treatment of chronic lateral ankle instability.