应用半腱肌同种异体移植物重建踝关节外侧韧带。
Anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft.
机构信息
Department of Sports Medicine and Arthroscopy Surgery, Huashan Hospital, Fudan University, No 12, Wulumuqi Zhong Rd, Shanghai, China 200040.
出版信息
Int Orthop. 2012 Oct;36(10):2027-31. doi: 10.1007/s00264-012-1577-7. Epub 2012 Jun 22.
Abstract
PURPOSE
The purpose of our study is to evaluate the clinical results of anatomical reconstruction of the lateral ligaments with semitendinosus allograft.
METHODS
Thirty-six patients with chronic lateral instability underwent anatomical reconstruction of the lateral ligaments of the ankle with semitendinosus allograft. The American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale score (AOFAS score) and the Karlsson score were used to evaluate the clinical results before and after surgery.
RESULTS
A total of 35 patients (97.2 %) (36 ankles) were followed up for a mean of 37.9 months. The mean AOFAS score improved from 42.3 ± 4.9 points preoperatively to 90.4 ± 6.7 postoperatively. The mean Karlsson score improved from 38.5 ± 3.2 preoperatively to 90.1 ± 7.8 postoperatively.
CONCLUSIONS
Anatomical reconstruction of the lateral ligaments with semitendinosus allograft achieves a satisfactory surgical outcome for chronic ankle instability.
摘要
目的
本研究旨在评估应用半腱肌腱重建体解剖重建外侧副韧带的临床效果。
方法
36 例慢性外侧不稳定患者采用半腱肌腱重建体解剖重建踝关节外侧副韧带。采用美国矫形足踝协会踝-后足评分（AOFAS 评分）和 Karlsson 评分评估术前和术后的临床结果。
结果
共有 35 例患者（97.2%）（36 个踝关节）平均随访 37.9 个月。AOFAS 评分平均从术前的 42.3±4.9 分提高到术后的 90.4±6.7 分。Karlsson 评分平均从术前的 38.5±3.2 分提高到术后的 90.1±7.8 分。
结论
应用半腱肌腱重建体解剖重建外侧副韧带治疗慢性踝关节不稳定可获得满意的手术效果。
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