Iwashita Kosui, Jujo Yasuyuki, Inokuchi Ryota, Glazebrook Mark, Stone James, Takao Masato
Clinical and Research Institute for Foot and Ankle Surgery, Jujo Hospital, Kisarazu, Japan.
Department of Health Services Research, Faculty of Medicine, University of Tsukuba.
Arthrosc Tech. 2021 Feb 22;10(3):e931-e939. doi: 10.1016/j.eats.2020.11.015. eCollection 2021 Mar.
Open anatomic reconstruction of the lateral ligament (AntiRoLL) of the ankle with a gracilis Y graft and the inside-out technique are commonly used and have evolved to minimally invasive surgery, including arthroscopic AntiRoLL (A-AntiRoLL) and percutaneous AntiRoLL procedures. A-AntiRoLL allows assessment and treatment of intra-articular pathologies of the ankle concurrently with stabilization. However, the A-AntiRoLL technique is technically demanding, especially in the process of calcaneofibular ligament reconstruction under subtalar arthroscopy. In contrast, the percutaneous AntiRoLL procedure is a simple concept that does not require the skill of an experienced arthroscopist but requires an extra skin incision to assess and treat intra-articular pathologies of the ankle. This study describes the application of a minimally invasive anatomic reconstruction technique-hybrid AntiRoLL-for chronic instability of the ankle that does not require advanced arthroscopic technique to assess and treat intra-articular pathology simultaneously.
采用股薄肌Y形移植物对踝关节外侧韧带进行开放解剖重建（AntiRoLL）及内外侧技术是常用方法，现已发展为微创手术，包括关节镜下AntiRoLL（A-AntiRoLL）和经皮AntiRoLL手术。A-AntiRoLL在稳定踝关节的同时可对关节内病变进行评估和治疗。然而，A-AntiRoLL技术对技术要求较高，尤其是在距下关节镜下重建跟腓韧带的过程中。相比之下，经皮AntiRoLL手术概念简单，不需要经验丰富的关节镜医师的技术，但需要额外的皮肤切口来评估和治疗踝关节的关节内病变。本研究描述了一种微创解剖重建技术——混合AntiRoLL——用于踝关节慢性不稳定，该技术不需要先进的关节镜技术即可同时评估和治疗关节内病变。
