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全内置解剖学外侧踝关节稳定术用于翻修及复杂的初次外侧踝关节稳定术:技术指南

All-inside, anatomical lateral ankle stabilization for revision and complex primary lateral ankle stabilization: a technique guide.

作者信息

Prissel Mark A, Roukis Thomas S

机构信息

Gundersen Medical Foundation (MAP), La Crosse, WisconsinDepartment of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Health System (TSR), La Crosse, Wisconsin.

Gundersen Medical Foundation (MAP), La Crosse, WisconsinDepartment of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Health System (TSR), La Crosse, Wisconsin

出版信息

Foot Ankle Spec. 2014 Dec;7(6):484-91. doi: 10.1177/1938640014548418. Epub 2014 Sep 8.

Abstract

Lateral ankle instability is a common mechanical problem that often requires surgical management when conservative efforts fail. Historically, myriad open surgical approaches have been proposed. Recently, consideration for arthroscopic management of lateral ankle instability has become popular, with promising results. Unfortunately, recurrent inversion ankle injury following lateral ankle stabilization can occur and require revision surgery. To date, arthroscopic management for revision lateral ankle stabilization has not been described. We present a novel arthroscopic technique combining an arthroscopic lateral ankle stabilization kit with a suture anchor ligament augmentation system for revision as well as complex primary lateral ankle stabilization.

摘要

外侧踝关节不稳是一种常见的力学问题,保守治疗失败时通常需要手术治疗。历史上,已经提出了无数种开放手术方法。最近,踝关节镜治疗外侧踝关节不稳受到关注并取得了良好效果。不幸的是,外侧踝关节稳定术后仍可能发生复发性踝关节内翻损伤,需要翻修手术。迄今为止,踝关节镜下翻修外侧踝关节稳定术尚未见报道。我们介绍一种新型踝关节镜技术,即将踝关节镜外侧稳定套件与缝线锚钉韧带增强系统相结合,用于翻修以及复杂的初次外侧踝关节稳定术。

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