Ajis Adam, Younger Alastair S E, Maffulli Nicola
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Thornburrow Drive, Hartshill, Stoke on Trent ST4 7QB Staffs, United Kingdom.
Foot Ankle Clin. 2006 Sep;11(3):539-45. doi: 10.1016/j.fcl.2006.07.005.
Symptomatic ankle instability will develop in upto 20% of patients after inversion injury. Although most patients can be successfully managed with rehabilitation and bracing, some will continue to suffer recurrent ankle instability with activities of daily living, work on uneven terrain, or sports. For this group of patients, we advocate direct anatomic surgical repair with the Brostrom procedure with or without its modifications.
内翻损伤后,高达20%的患者会出现有症状的踝关节不稳。尽管大多数患者通过康复训练和支具固定可成功治疗,但仍有一些患者在日常生活、在不平整地形上工作或运动时会反复出现踝关节不稳。对于这组患者,我们主张采用Brostrom手术进行直接解剖修复,可进行或不进行改良。