Al Razi Orthopaedic Hospital, Sports Medical Centre, Clinical Tutor Medical School, Kuwait University, Kuwait.
Foot Ankle Surg. 2011 Dec;17(4):239-46. doi: 10.1016/j.fas.2010.07.006. Epub 2010 Nov 5.
Many surgical technique have been described to assess the outcome of anatomical reconstruction of the lateral ligaments using Gracillis tendon. This technique aims to restore the stability of the ankle by reconstruction of the talofibular ligament (ATFL) and the calcaneofibular ligament (CFL) using the Gracillis tendon.
From January 2004 to February 2008; inclusive, 16 patients; 11 male and 5 female, underwent an anatomic reconstruction of the lateral ankle ligament for chronic ankle instability. Their ages ranged from 18 to 29 giving a mean age of 25 years. Patients were then subjected to radiologic and clinical assessments for a period of at least 33.5 months. For pain scoring the Americans Orthopaedic Foot and Ankle Society (AOFAS) scores were used; whilst subjective symptom was evaluated using the Olerud and Molander ankle scoring system.
All patients returned for the final evaluation and subjective excellent or good results were recorded on self-assessment, pain scores, AOFAS and Karissons scores. Additionally Olerud and Molander ankle scoring was also done. During the final follow-up, the mean post-operative AOFAS score was 96 (range 80-100), the Visual analog score was 6 (range 0-4), Karissons score was 94.7 (range 80-100) and last but not least Olerud and Molander score was 87.5 (range 70-100). It was noted that the ankle range of motion was not affected by lateral ankle reconstruction. The talar tilt was reduced from a mean of 12-4° (p<0.0001) and the anterior drawer was reduced from a mean of 11-4mm (p<0.001) by the ankle ligament reconstruction.
Anatomical reconstruction of the lateral ligaments of chronic ankle instability using Gracillis tendon graft resulted in successful results, excellent ankle stability, significant reduction in pain and negligible loss of ankle and hind foot motion.
许多外科技术已经被描述用于评估使用股薄肌腱重建外侧韧带的解剖学结果。该技术旨在通过重建距腓前韧带（ATFL）和跟腓韧带（CFL）来恢复踝关节的稳定性，使用股薄肌腱。
2004 年 1 月至 2008 年 2 月，共 16 例患者，11 例男性，5 例女性，因慢性踝关节不稳定接受了外侧踝关节韧带的解剖重建。他们的年龄在 18 至 29 岁之间，平均年龄为 25 岁。患者随后接受了至少 33.5 个月的放射学和临床评估。对于疼痛评分，使用美国矫形足踝协会（AOFAS）评分；而主观症状则使用 Olerud 和 Molander 踝关节评分系统进行评估。
所有患者均返回进行最终评估，自我评估、疼痛评分、AOFAS 和 Karissons 评分记录为主观优秀或良好结果。此外，还进行了 Olerud 和 Molander 踝关节评分。在最终随访时，平均术后 AOFAS 评分为 96（80-100 分），视觉模拟评分 6（0-4 分），Karissons 评分为 94.7（80-100 分），最后但并非最不重要的是 Olerud 和 Molander 评分为 87.5（70-100 分）。值得注意的是，外侧踝关节重建并不影响踝关节的活动范围。距骨倾斜从平均 12-4°（p<0.0001）减少，前抽屉从平均 11-4mm（p<0.001）减少，这是通过踝关节韧带重建实现的。
使用股薄肌腱移植物重建慢性踝关节不稳定的外侧韧带可获得成功的结果，踝关节稳定性显著提高，疼痛明显减轻，踝关节和后足活动几乎不受影响。
