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带线锚钉结合改良Brostrom法修复慢性踝关节外侧不稳 被引量:2

Suture anchors in treatment of chronic lateral ankle instability using modified Brostrom technique
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摘要 目的探讨带线锚钉结合改良Brostr6m法修复慢性踝关节外侧不稳的方法和疗效。方法对2009年5月至2011年5月问收治16例慢性踝关节不稳患者进行回顾性分析,其中男7例,女9例;年龄19~31岁,平均23.6岁;均有踝关节外侧轻度肿胀、疼痛、不稳感,均为6个月以上的陈旧性损伤,而且经过3~6个月康复训练无改善,反复扭伤。均采用带线锚钉技术结合改良Brostrom法修复,采用荚同足踝外科协会(AOFAS)的踝与后足评分系统对手术前、后踝关节功能进行评估,并采用Good症状评级标准对患者术后主观感觉进行评估。结果所有患者术后获6~24个月(平均16个月)随、方。术后AOFAS踝与后足评分[(92.06±3.13)分]、距骨前移距离[(3.19±1.17)mm]、距骨倾斜角度(4.69°±1.35°)均较术前[(65.00±6.65)分、(11.38±2.23)mm、13.44°±2.25°]明显改善,差异均有统计学意义(P〈0.05)。术后Good症状评级标准:Ⅰ级8例,Ⅱ级6例,Ⅲ级2例,优良率为87.5%。结论住慢性踝关节外侧不稳中应用带线锚钉结合改良Brostrom法解剖修复韧带可以达到理想的效果。 Objective To discuss the application of suture anchors in the treatment of chronic, lateral ankle instability using the modified Brostrom technique. Methods Frnm May 2009 to May 2011, we admitted 16 patients with ankle sprain of degree Ⅲ who had had little improvement alter conservative treatment for more than 6 months and deteriorated into chronic lateral ankle instability. They were 7 men and 9 women, aged fi'om 19 to 31 years (average, 23.6 years). They all had mild swelling, pain and instability at the lateral ankle. We treated them with suture anchors using the modified Brostrom technique. The pre- and post-operative ankle functions were evaluated by American Orthopaedic Foot and Ankle Society (AOFAS) scores. The patients' subjective feeling alter operation was evaluated by the Good grading system. Results The patients were followed up for 6 to 24 months (average, 16 months). The AOFAS ankle and hindfoot score improved signif- icantly from preoperative 65.00 ± 6.65 points to postoperative 92.06 ± 3. 13 points, the talar antedisplace- ment from preoperative 11.38 ±2.23 mm to postoperative 3. 19± 1. 1 mm, and the talar tilt angle from preoperative 13.44°±2.25°topostoperative4.69°±1.35° (P 〈0.05) . By the Good grading system for postoperative symptoms, there were 8 cases of grade Ⅰ, 6 cases of grade Ⅱ, 2 cases of grade Ⅲ and no case of grade Ⅳ, giving a good to excellent rate of 87.5%. Conclusion Suture anchors and modified Brostrom technique is a reasonable and effective surgical method for the treatment of chronic lateral ankle instability.
作者 陈刚 陈封明 任鹏 李兵兵 陈立 周阳 CHEN Gang, CHEN Feng-ming, REN Peng, et al. Microsurgery Department, The First Affiliated Hospital to Xinjiang Medical Uni~ersity, Urumqi 830054, China
出处 《中华创伤骨科杂志》 CAS CSCD 北大核心 2012年第12期1042-1046,共5页 Chinese Journal of Orthopaedic Trauma
关键词 运动医学 骨钉 外侧韧带 Sports medicine Bone nails Lateral ligament, ankle
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参考文献22

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