Karlsson J, Lansinger O
Tf klinisk amanuens, ortopediska kliniken, Ostra sjukhuset, Göteborg.
Lakartidningen. 1991 Apr 10;88(15):1399-402.
In cases of lateral ankle injury, although acute ligament ruptures are best treated non-operatively with physiotherapy (range-of-motion and co-ordination training, and peroneal muscle strengthening exercises), about 10-20 per cent of patients nonetheless develop chronic functional instability: While this is not severely disabling, ligament reconstruction may be necessary in specific cases, e g for those with high demands of ankle stability. Of the more than 50 surgical approaches published, several have become classic reconstructive procedures widely used--e g, those of Evans and Watson-Jones (with disappointing long-term results), and that of Chrisman-Snook (with satisfactory long-term outcome). However, anatomical ligament reconstruction (with shortening, re-insertion and imbrication of the healed but elongated ligament) is a simple procedure with good short- and long-term results, which may often be a better alternative than other more complex reconstructive procedures.
在踝关节外侧损伤的病例中，虽然急性韧带断裂最好采用物理治疗进行非手术治疗（包括活动范围和协调性训练以及腓骨肌强化锻炼），但仍有10% - 20%的患者会发展为慢性功能不稳定：虽然这不会导致严重残疾，但在特定情况下可能需要进行韧带重建，例如对踝关节稳定性要求较高的患者。在已发表的50多种手术方法中，有几种已成为广泛使用的经典重建手术——例如，埃文斯（Evans）和沃森 - 琼斯（Watson - Jones）的方法（长期效果令人失望），以及克里斯曼 - 斯诺克（Chrisman - Snook）的方法（长期效果令人满意）。然而，解剖学韧带重建（对愈合但拉长的韧带进行缩短、重新附着和重叠缝合）是一种简单的手术，短期和长期效果都很好，它可能常常是比其他更复杂的重建手术更好的选择。
