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踝关节外侧稳定术失败后的翻修手术

Revision Surgery for Failed Lateral Ankle Stabilization.

作者信息

Grambart Sean T, Brown Joseph R

机构信息

Des Moines University, College of Podiatric Medicine and Surgery, 3200 Grand Avenue, Des Moines, IA 50312, USA; Unitypoint Health - Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA.

Des Moines University, College of Podiatric Medicine and Surgery, 3200 Grand Avenue, Des Moines, IA 50312, USA.

出版信息

Clin Podiatr Med Surg. 2020 Jul;37(3):463-473. doi: 10.1016/j.cpm.2020.03.002. Epub 2020 May 11.

Abstract

Although most primary lateral ankle ligament repairs have a high success rate, as with any surgery, failures and the need for revision can occur. Nonanatomic lateral ankle ligament repairs have fallen out of favor because of the increased stiffness and resultant change in mechanics of the functioning tendon that is normally used. Allograft anatomic lateral ankle ligament reconstruction for revision surgery has gained popularity over the last few years. This article discusses the factors that can lead to failure and the revision technique.

摘要

尽管大多数初次外侧踝关节韧带修复成功率很高,但与任何手术一样,仍可能出现失败及需要翻修的情况。非解剖学外侧踝关节韧带修复因增加了僵硬程度以及导致正常使用的功能肌腱力学改变而不再受欢迎。同种异体移植解剖学外侧踝关节韧带重建用于翻修手术在过去几年中越来越受欢迎。本文讨论了可能导致失败的因素及翻修技术。

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