一种采用完整腓骨上支持带的假囊闭合技术治疗腓骨肌腱复发性脱位。
A false-pouch closure technique with an intact superior peroneal retinaculum for recurrent dislocation of the peroneal tendon.
作者信息
Matsui Tomohiro, Kumai Tsukasa, Shinohara Yasushi, Kanzaki Noriyuki, Noguchi Koji, Tanaka Hirofumi, Sugimoto Takeshi, Yabiku Hiroki, Higashiyama Ichiro
机构信息
Department of Orthopaedic Surgery, Saiseikai Nara Hospital, Nara, Japan.
Faculty of Sports Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa city, Saitama, Japan.
出版信息
J Exp Orthop. 2021 Mar 18;8(1):22. doi: 10.1186/s40634-021-00343-0.
PURPOSE
To evaluate the usefulness of the false-pouch closure technique with an intact superior peroneal retinaculum (SPR).
METHODS
From 2016 to 2020, 30 patients with recurrent dislocation of the peroneal tendon were treated with the current procedure. Clinical outcomes, including the time to resume running, the rate and time to return to sports, and the American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hind Foot score, were evaluated preoperatively and at the last follow-up.
RESULTS
The rate of return to the pre-injury level of sports activity was 93.3%, and the mean duration to return to running and sports was 8.0 ± 2.8 weeks (range: 3-12 weeks) and 14.4 ± 3.2 weeks (range: 10-24 weeks), respectively. The mean preoperative AOFAS score was 79.7 ± 9.6 points (range: 41-90), which improved significantly to 98.9 ± 3.2 (87-100) postoperatively (p < 0.01).
CONCLUSION
The false-pouch closure technique with suture tape and anchors had a reliable clinical outcome and can enable the early return of patients to their sports activities.
LEVEL OF EVIDENCE
IV, Case series.
目的
评估采用完整的腓骨上支持带（SPR）进行假囊闭合技术的有效性。
方法
2016年至2020年，30例腓骨肌腱复发性脱位患者接受了当前手术治疗。对临床结果进行评估，包括恢复跑步的时间、恢复运动的比率和时间，以及美国矫形足踝协会（AOFAS）踝-后足评分，评估时间为术前及末次随访时。
结果
恢复到伤前运动活动水平的比率为93.3%，恢复跑步和运动的平均持续时间分别为8.0±2.8周（范围：3 - 12周）和14.4±3.2周（范围：10 - 24周）。术前AOFAS评分平均为79.7±9.6分（范围：41 - 90），术后显著提高至98.9±3.2（87 - 100）（p < 0.01）。
结论
使用缝合带和锚钉的假囊闭合技术具有可靠的临床结果，能够使患者早期恢复运动活动。
证据级别
IV，病例系列。
Zotero 插件