Chen Shoubo, Hua Yinghui
Department of Orthopedics, the Second Affiliated Hospital of Fujian Medicle University, Quanzhou Fujian, 362000, P.R.China.
Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, 200000,
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017 Apr 15;31(4):427-431. doi: 10.7507/1002-1892.201611022.
To evaluate the effectiveness of anterior talofibular ligament repair in the treatment of lateral ankle stability and the effect of combined tarsal sinus syndrome on results.
Between December 2013 and October 2014, 47 cases of lateral ankle instability underwent anatomical repair of anterior talofibular ligament, and the clinical data were retrospectively analyzed. Of 47 cases, 32 had no tarsal sinus syndrome (group A); 15 had tarsal sinus syndrome (group B), arthroscopic debridement of tarsal sinus was performed at the same time. There was no significant difference in gender, age, disease duration, side, American Orthopaedic Foot and Ankle Society (AOFAS), Karlsson score, and Tegner movement function score between 2 groups ( >0.05).
No early surgical complication of infection occurred, and primary healing of incision was obtained in 2 groups. The patients were followed up 20-31 months (mean, 26.0 months) in group A, and 20-31 months (mean, 24.7 months) in group B. Disappearance of ankle swelling, good joints movement, and recovery of normal walking were observed in all patients. At last follow-up, AOFAS score, Karlsson score, and Tegner movement function score were significantly improved when compared with preoperative ones in 2 groups ( <0.05), but no significant difference was found between 2 groups ( >0.05). No ankle instability recurrence was found during follow-up period.
The effectiveness of anatomical repair of anterior talofibular ligament in lateral ankle instability is satisfactory for patients with or without tarsal sinus syndrome.
评估距腓前韧带修复术治疗踝关节外侧不稳的疗效以及合并跗骨窦综合征对治疗结果的影响。
回顾性分析2013年12月至2014年10月间47例行距腓前韧带解剖修复术治疗踝关节外侧不稳患者的临床资料。47例患者中，32例无跗骨窦综合征（A组）；15例合并跗骨窦综合征（B组），同期行跗骨窦关节镜清理术。两组患者在性别、年龄、病程、患侧、美国足踝外科协会（AOFAS）评分、Karlsson评分及Tegner运动功能评分方面差异均无统计学意义（>0.05）。
两组均未发生早期手术感染并发症，切口均一期愈合。A组患者随访2031个月（平均26.0个月），B组患者随访2031个月（平均24.7个月）。所有患者踝关节肿胀均消失，关节活动良好，恢复正常行走。末次随访时，两组患者AOFAS评分、Karlsson评分及Tegner运动功能评分均较术前显著改善（<0.05），但两组间比较差异无统计学意义（>0.05）。随访期间无踝关节不稳复发。
距腓前韧带解剖修复术治疗踝关节外侧不稳，无论患者是否合并跗骨窦综合征，疗效均满意。
