Noailles Thibaut, Lopes Ronny, Padiolleau Giovanni, Gouin François, Brilhault Jean
Centre Hospitalier Universitaire de Nantes, 1 Place Alexis Ricordeau, 44000 Nantes, France.
Clinique Brétéché, 3 rue de la Béraudière, 44000 Nantes, France.
Foot Ankle Surg. 2018 Apr;24(2):80-85. doi: 10.1016/j.fas.2016.10.005. Epub 2016 Nov 5.
A lateral ankle sprain is one of the most frequent reasons for consultation at the emergency trauma unit. Numerous surgical procedures have been described with long-term outcomes that differ.
The long-term results of anatomical repair of the anterior talofibular ligament (ATFL) and the calcaneofibular (CFL) ligament are better, with less secondary radiological osteoarthritis than non-anatomical repair.
A review of the literature after a minimum follow-up of 10 years was performed to analyze the clinical and radiological results of direct anatomical repair (Broström, Duquennoy) and non-anatomical repair (Watson Jones, Evans, Castaing). Thirteen articles were selected.
Eight hundred and one ankles were evaluated after a mean follow-up of 15.3 years. The functional outcome was better after anatomical repair but with recurrent instability. Loss of range of motion and secondary osteoarthritis was more frequent after non-anatomical repair.
Anatomical repair of the lateral collateral ligament of the ankle resulted in a better functional outcome and less secondary osteoarthritis than non-anatomical repair.
Review of the literature; level of proof IV.
外侧踝关节扭伤是急诊创伤科最常见的就诊原因之一。已有众多手术方法被描述，其长期疗效各不相同。
距腓前韧带（ATFL）和跟腓韧带（CFL）的解剖修复长期效果更佳，继发放射性骨关节炎的情况少于非解剖修复。
对至少随访10年的文献进行回顾，以分析直接解剖修复（布罗斯特伦、迪凯努瓦）和非解剖修复（沃森·琼斯、埃文斯、卡斯坦）的临床和影像学结果。共筛选出13篇文章。
平均随访15.3年后，共评估了801例踝关节。解剖修复后的功能结果更佳，但存在复发性不稳定。非解剖修复后运动范围丧失和继发性骨关节炎更为常见。
踝关节外侧副韧带的解剖修复比非解剖修复具有更好的功能结果和更少的继发性骨关节炎。
文献回顾；证据级别为IV级。
