Karlsson J, Bergsten T, Lansinger O, Peterson L
Department of Orthopaedics, East Hospital, Göteborg, Sweden.
J Bone Joint Surg Am. 1988 Apr;70(4):581-8.
One hundred and seventy-six patients (180 ankles) who had chronic lateral instability of the ankle were treated with transection and imbrication of the anterior talofibular ligament. Sixty-eight of the ankles had reconstruction of the calcaneofibular ligament as well. Of the 176 patients, 148 (152 ankles) were available for follow-up, which ranged from two to twelve years (mean, six years). An excellent or good result was achieved in 132 ankles, all of which had improved mechanical stability as measured radiographically. Sixteen of the twenty ankles that had an unsatisfactory result were in patients who had generalized hypermobility of the joints or long-standing local ligamentous insufficiency, or both, or who had had a previous operation. Reconstruction of both ligaments gave a better functional result than when only the anterior talofibular ligament was reconstructed.
176例（180个踝关节）患有慢性踝关节外侧不稳的患者接受了距腓前韧带切断及重叠缝合术治疗。其中68个踝关节还进行了跟腓韧带重建。176例患者中，148例（152个踝关节）获得随访，随访时间为2至12年（平均6年）。132个踝关节获得了优或良的结果，所有这些踝关节经影像学测量其机械稳定性均有改善。结果不满意的20个踝关节中，16个患者存在关节广泛性活动过度或长期局部韧带功能不全，或两者皆有，或曾接受过手术。重建两条韧带比仅重建距腓前韧带能获得更好的功能结果。
