Peachtree Orthopedics, 3200 Downwood Circle NW, Suite 700, Atlanta, GA 30327, USA.
OrthoCarolina Foot and Ankle Institute, Atrium Health Musculoskeletal Institute, 2001 Vail Avenue, Suite 200B, Charlotte, NC 28207, USA.
Foot Ankle Clin. 2021 Mar;26(1):137-153. doi: 10.1016/j.fcl.2020.10.005. Epub 2020 Dec 13.
Primary lateral ankle ligament reconstruction has a high success rate, but failures may lead to recurrent instability. In patients with recurrent lateral ankle instability, it is important to determine the mode of failure. Underlying cavovarus deformity and joint hypermobility must be identified and addressed at the time of revision surgical stabilization. The modified Brostrom-Gould procedure is typically performed for primary lateral ankle ligament reconstruction, but it may be used in revision stabilization procedures utilizing suture-tape augmentation. Revision lateral ankle stabilization surgery can also be addressed with anatomic allograft reconstruction of the ATFL and CFL, and is the authors'preferred technique.
初次外侧踝关节韧带重建的成功率很高，但重建失败可能会导致踝关节再次不稳定。对于外侧踝关节反复不稳定的患者，明确失败的模式非常重要。在进行翻修手术稳定时，必须确定并解决潜在的内翻高弓畸形和关节过度活动。改良的Brostrom-Gould 手术通常用于初次外侧踝关节韧带重建，但也可用于使用缝线带增强的翻修稳定手术。翻修外侧踝关节稳定手术还可以采用 ATFL 和 CFL 的解剖同种异体重建来解决，这是作者首选的技术。
