Hopper Graeme P, Benson Daniel M, Wilson William T, Rigby Ryan B, Mackay Gordon M
College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, Scotland.
Department of Biomedical Engineering, University of Strathclyde, Glasgow, Scotland.
Arthrosc Tech. 2020 Nov 12;9(12):e1893-e1897. doi: 10.1016/j.eats.2020.08.016. eCollection 2020 Dec.
The most common injury sustained to the ankle ligaments is a result of inversion of the foot. This mechanism results in injury to the anterior talofibular ligament alone or in conjunction with the calcaneofibular ligament and posterior talofibular ligament. Patients experiencing recurrent ankle sprains despite nonoperative measures often require surgical management. Recent focus has been on augmentation procedures to improve the stability of a lateral ankle ligament repair by protecting it during the healing phase and supporting early mobilization. This article describes, with video illustration, anterior talofibular ligament repair with suture tape augmentation.
踝关节韧带最常见的损伤是足部内翻所致。这种机制会导致单独的距腓前韧带损伤,或同时伴有跟腓韧带和距腓后韧带损伤。尽管采取了非手术措施,但仍反复出现踝关节扭伤的患者通常需要手术治疗。最近的重点是增强手术,通过在愈合阶段保护外侧踝关节韧带修复并支持早期活动来提高其稳定性。本文通过视频演示描述了用缝线带增强修复距腓前韧带的方法。