Palladino S J, Smith S B, Jackson J L
Department of Podiatric Surgery, California College of Podiatric Medicine, San Francisco.
J Foot Surg. 1991 Jul-Aug;30(4):406-13.
Numerous procedures have evolved to operatively stabilize the ankle suffering from chronic inversion instability. The use of the plantaris tendon to anatomically reconstruct the lateral collateral ankle ligaments is among those that avoid the complication of restriction of subtalar joint range of motion. The authors present a modified technique of reconstructing the calcaneofibular and anterior talofibular ligaments using a plantaris tendon that maintains its insertion. A retrospective study of eight patients that elected the procedure for chronic ankle instability was conducted. The average follow-up was 12.7 months. Significant improvement in functional score (p less than 0.01) and talar tilt (p less than 0.05) was noted following the procedure. No restriction of subtalar joint motion was observed in any patient after the procedure. The advantages and disadvantages of the procedure are discussed. The authors conclude that the procedure appears to be a desirable alternative in achieving ankle stability while maintaining normal hindfoot function.
为手术稳定患有慢性内翻不稳的踝关节，已发展出多种手术方法。利用跖肌腱在解剖学上重建踝关节外侧副韧带，是那些可避免距下关节活动范围受限并发症的方法之一。作者介绍了一种改良技术，即使用保留其附着点的跖肌腱重建跟腓韧带和距腓前韧带。对八名因慢性踝关节不稳而选择该手术的患者进行了回顾性研究。平均随访时间为12.7个月。术后功能评分（p<0.01）和距骨倾斜度（p<0.05）有显著改善。术后未观察到任何患者距下关节活动受限。讨论了该手术的优缺点。作者得出结论，该手术似乎是在维持正常后足功能的同时实现踝关节稳定的理想选择。
