Hardy Mark A, Connors James C, Zulauf Emily E, Coyer Michael A
Division of Surgery and Biomechanics, Kent State University College of Podiatric Medicine, 6000 Rockside Woods Boulevard, Independence, OH 44131, USA.
Division of Surgery and Biomechanics, Kent State University College of Podiatric Medicine, 6000 Rockside Woods Boulevard, Independence, OH 44131, USA.
Clin Podiatr Med Surg. 2020 Apr;37(2):295-304. doi: 10.1016/j.cpm.2019.12.004. Epub 2020 Feb 3.
Direct repair of deep deltoid ruptures after traumatic ankle fracture is not commonly performed. Previous studies overlook the contributions of the medial deltoid to overall ankle stability and long-term patient satisfaction. Historically, deep deltoid injuries have been addressed indirectly through syndesmotic ligament repair. This technique fails to restore, however, the anatomic function of the primary medial stabilizing structure. The oversight of direct deltoid repair may be one contributing factor to the less than optimal outcomes after ankle fractures with syndesmotic injuries. This article reports a positive response with direct deep deltoid repair, at average 5-year follow-up, with 93% positive return to normal function.
创伤性踝关节骨折后直接修复三角韧带深层撕裂并不常见。以往的研究忽视了三角韧带深层对踝关节整体稳定性和患者长期满意度的贡献。从历史上看，三角韧带深层损伤一直通过下胫腓韧带修复间接处理。然而，这种技术无法恢复主要内侧稳定结构的解剖功能。忽视直接修复三角韧带可能是导致伴有下胫腓损伤的踝关节骨折后效果欠佳的一个因素。本文报告了在平均5年的随访中，直接修复三角韧带深层取得了积极的效果，93%的患者恢复正常功能。
