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改良关节镜辅助重建技术治疗外侧踝关节不稳的疗效

Outcomes of a Modified Arthroscopic-assisted Reconstruction Technique for Lateral Ankle Instability.

作者信息

Sánchez Carlos A, Briceño Ignacio, Robledo Jaime

机构信息

Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Bogotá, D.C., Colômbia.

Departamento de Ortopedia e Traumatologia, Hospital Universitario San Ignacio, Bogotá, D.C., Colômbia.

出版信息

Rev Bras Ortop (Sao Paulo). 2022 Feb 9;57(4):577-583. doi: 10.1055/s-0041-1741446. eCollection 2022 Aug.

DOI:10.1055/s-0041-1741446
PMID:35966426
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9365499/
Abstract

The present study assesses the results of a minimally invasive surgical technique for acute and chronic ankle instability management.  The present case series study retrospectively evaluated 40 patients undergoing arthroscopic-assisted percutaneous ankle ligament reconstruction from 2013 to 2019.  The present study included 17 males and 23 females with an average age of 38.3 years old. Postintervention follow-up using American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot scores identified improvement of > 30 points in function and pain control. The most frequently occurring associated injuries were osteochondral (35%). No patient required reintervention or had infection during follow-up.  The technique in the present study is easy and achieves satisfactory results for function and pain control. IV.

摘要

本研究评估了一种用于治疗急慢性踝关节不稳的微创手术技术的效果。本病例系列研究回顾性评估了2013年至2019年期间接受关节镜辅助经皮踝关节韧带重建的40例患者。本研究纳入了17例男性和23例女性,平均年龄为38.3岁。采用美国矫形足踝协会(AOFAS)踝-后足评分进行干预后随访,结果显示功能和疼痛控制方面改善超过30分。最常见的相关损伤是骨软骨损伤(35%)。随访期间没有患者需要再次干预或发生感染。本研究中的技术操作简便,在功能和疼痛控制方面取得了满意的效果。 四、

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/6dafd0928c8a/10-1055-s-0041-1741446-i2100163pt-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/bbc9a3058df7/10-1055-s-0041-1741446-i2100163pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/f09c49f82576/10-1055-s-0041-1741446-i2100163pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/6dafd0928c8a/10-1055-s-0041-1741446-i2100163pt-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/bbc9a3058df7/10-1055-s-0041-1741446-i2100163pt-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/f09c49f82576/10-1055-s-0041-1741446-i2100163pt-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5374/9365499/6dafd0928c8a/10-1055-s-0041-1741446-i2100163pt-6.jpg

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本文引用的文献

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Lateral Ankle Sprain and Chronic Ankle Instability.外侧踝关节扭伤与慢性踝关节不稳
Foot Ankle Orthop. 2019 Jun 13;4(2):2473011419846938. doi: 10.1177/2473011419846938. eCollection 2019 Apr.
2
The Prevalence of Pain in People With Chronic Ankle Instability: A Systematic Review.慢性踝关节不稳患者的疼痛患病率:系统评价。
J Athl Train. 2019 Jun;54(6):662-670. doi: 10.4085/1062-6050-531-17. Epub 2019 Jun 11.
3
Similar Outcomes at Early Term After Arthroscopic or Open Repair of Chronic Ankle Instability: A Systematic Review and Meta-Analysis.
关节镜或开放修复慢性踝关节不稳后早期足月时的相似结果:一项系统评价和荟萃分析
J Foot Ankle Surg. 2019 Mar;58(2):312-319. doi: 10.1053/j.jfas.2018.08.026.
4
Surgical management of chronic lateral ankle instability: a meta-analysis.慢性外侧踝关节不稳定的手术治疗:荟萃分析。
J Orthop Surg Res. 2018 Jun 25;13(1):159. doi: 10.1186/s13018-018-0870-6.
5
Individuals with chronic ankle instability exhibit dynamic postural stability deficits and altered unilateral landing biomechanics: A systematic review.慢性踝关节不稳患者存在动态姿势稳定性不足和单侧落地生物力学改变:系统评价。
Phys Ther Sport. 2019 May;37:210-219. doi: 10.1016/j.ptsp.2018.06.003. Epub 2018 Jun 13.
6
Acute lateral ankle sprain to chronic ankle instability: a pathway of dysfunction.急性外侧踝关节扭伤至慢性踝关节不稳:一条功能障碍的路径。
Phys Sportsmed. 2018 Feb;46(1):116-122. doi: 10.1080/00913847.2018.1409604. Epub 2017 Nov 29.
7
Factors Contributing to Chronic Ankle Instability: A Systematic Review and Meta-Analysis of Systematic Reviews.导致慢性踝关节不稳定的因素:系统评价的系统综述和荟萃分析。
Sports Med. 2018 Jan;48(1):189-205. doi: 10.1007/s40279-017-0781-4.
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Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?119例踝关节外侧韧带修复手术的结果:手术方法和关节镜检查时机重要吗?
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