Department of Orthopedics, Southeast Orthopedic Specialists, Foot and Ankle Center, 6500 Bowden Road, Suite 103, Jacksonville, FL 32216, USA.
Department of Orthopedics, Blue Ridge Division of EmergeOrtho, Foot and Ankle Center, 2585 Hendersonville Road, Arden, NC 28704, USA.
Foot Ankle Clin. 2021 Mar;26(1):65-85. doi: 10.1016/j.fcl.2020.10.004. Epub 2020 Dec 13.
In the past several years, arthroscopic repair of the lateral ankle ligaments has grown because it has shown comparable results with the traditional open Brostrom-Gould procedure. In addition, arthroscopic repair allows reduced swelling and cosmesis. This article discusses the authors' technique for lateral ankle instability, with published data supporting biomechanical equivalency to the standard open Brostrom-Gould procedure. An optional internal brace can provide further strength to the repair and lead to a quicker recovery. Arthroscopic repair both with and without the internal brace have shown positive clinical outcomes for patients as well as high satisfaction rates.
在过去的几年中，关节镜下修复外侧踝关节韧带的技术得到了发展，因为它已经显示出与传统的开放性 Brostrom-Gould 手术相当的结果。此外，关节镜下修复还可以减少肿胀和美容效果。本文讨论了作者治疗外侧踝关节不稳定的技术，已有数据支持其生物力学等效性与标准的开放性 Brostrom-Gould 手术相当。一种可选的内置支撑物可以为修复提供进一步的强度，并导致更快的恢复。关节镜下修复结合或不结合内置支撑物都为患者带来了积极的临床结果和高满意度。
