Targonski J
Aktuelle Traumatol. 1987 Feb;17(1):35-7.
The article introduces a new aspect in the treatment of ruptures of the lateral ligaments of the ankle. We used the modification of tenodesis according to Castaing and Meunier (3) in the operation of the acute lesions of the fibular ligament. The wearing of a cast for 6-7 weeks after operation is generally not necessary because stability of ankle joint ligaments is obtained. The disadvantages of complete immobilization and trophic changes as well as tenodesis effect are avoided. The patients begin with functional physiotherapy after wound healing (10th postoperative day). Careful extremity loading of the selected, active patient is possible four weeks after operation. 118 reconstructions of the ankle joint ligaments (96 with the abovementioned method) have been performed in the Department of Surgery of Witten-Herdecke University between 1970-1982. Of 43 patients checked in follow-up examination (mean postoperative period three years) 5 showed unsatisfactory balance (tenodesis effect).
本文介绍了踝关节外侧韧带断裂治疗方面的一个新情况。在腓骨韧带急性损伤的手术中，我们采用了根据卡斯坦和默尼耶（3）改进的腱固定术。术后一般无需石膏固定6至7周，因为踝关节韧带已恢复稳定。避免了完全固定的弊端、营养性改变以及腱固定效果不佳的问题。患者在伤口愈合后（术后第10天）开始进行功能理疗。术后四周，对选定的活跃患者可谨慎地进行患侧肢体负重。1970年至1982年间，维滕 - 黑尔德克大学外科进行了118例踝关节韧带重建手术（其中96例采用上述方法）。在43例接受随访检查的患者中（术后平均时间为三年），有5例平衡情况不理想（腱固定效果不佳）。
