Pereira Hélder, Vuurberg Gwen, Gomes Nuno, Oliveira Joaquim Miguel, Ripoll Pedro L, Reis Rui Luís, Espregueira-Mendes João, Niek van Dijk C
Orthopedic Department, Centro Hospitalar Póvoa de Varzim, Vila do Conde, Portugal; 3B's Research Group-Biomaterials, Biodegradables and Biomimetics, University of Minho, Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine, Guimarães, Portugal; ICVS/3B's-PT Government Associated Laboratory, Portugal; Clínica do Dragão, Espregueira-Mendes Sports Center, FIFA Medical Center of Excellence, Murcia, Spain; Ripoll y De Prado Sports Clinic, FIFA Medical Center of Excellence, Murcia, Spain.
Orthopedic Department, Amsterdam Medical Centre, Amsterdam, The Netherlands.
Arthrosc Tech. 2016 Feb 1;5(1):e99-e107. doi: 10.1016/j.eats.2015.10.010. eCollection 2016 Feb.
In recent years, arthroscopic and arthroscopically assisted techniques have been increasingly used to reconstruct the lateral ligaments of the ankle. Besides permitting the treatment of several comorbidities, arthroscopic techniques are envisioned to lower the amount of surgical aggression and to improve the assessment of anatomic structures. We describe our surgical technique for arthroscopic, two-portal ankle ligament repair using an all-soft knotless anchor, which is made exclusively of suture material. This technique avoids the need for classic knot-tying methods. Thus it diminishes the chance of knot migration caused by pendulum movements. Moreover, it avoids some complications that have been related to the use of metallic anchors and some currently available biomaterials. It also prevents prominent knots, which have been described as a possible cause of secondary complaints.
近年来，关节镜及关节镜辅助技术越来越多地用于重建踝关节外侧韧带。除了能够治疗多种合并症外，关节镜技术有望减少手术创伤，并改善对解剖结构的评估。我们描述了一种使用全软无结锚钉进行关节镜双入路踝关节韧带修复的手术技术，该锚钉完全由缝合材料制成。此技术无需传统的打结方法。因此，它减少了因摆动运动导致结移位的可能性。此外，它避免了一些与使用金属锚钉和一些现有生物材料相关的并发症。它还防止了出现突出的结，而突出的结被认为是继发症状的可能原因。
