Drakos Mark, Hansen Oliver, Kukadia Saanchi
Hospital for Special Surgery, 523 East 72nd st, New York, NY 10021, USA.
Hospital for Special Surgery, 523 East 72nd st, New York, NY 10021, USA.
Foot Ankle Clin. 2022 Jun;27(2):371-384. doi: 10.1016/j.fcl.2021.11.025. Epub 2022 May 11.
Ankle sprains are a common injury among physically active populations and occur with an incidence of around 2.15 per 1000 person-years. This article discusses various surgical procedures used to treat chronic lateral ankle instability, including direct ligament repair, anatomic reconstruction, and nonanatomic reconstruction. We focus our discussion on the most common and challenging complications of ankle stabilization, both in our experience and as supported by the existing literature, including recurrent instability, superficial peroneal nerve injury, and unaddressed pathology that continues to cause symptoms and limit function. We offer possible methods to manage these conditions as well as available outcome data.
踝关节扭伤在体育活动人群中是一种常见损伤,发病率约为每1000人年2.15例。本文讨论了用于治疗慢性外侧踝关节不稳的各种外科手术方法,包括直接韧带修复、解剖重建和非解剖重建。我们结合自身经验并依据现有文献,重点讨论踝关节稳定手术最常见且具挑战性的并发症,包括复发性不稳、腓浅神经损伤以及未解决的病理状况,这些病理状况持续引发症状并限制功能。我们提供了处理这些情况的可能方法以及现有的疗效数据。