Department of Orthopaedics, General Hospital of Central Theater Command, NO. 627, Wuluo Road, Wuhan, 430030, Hubei Province, People's Republic of China.
The First Clinical Medical School Of, Southern Medical University, Guangzhou, Guangdong Province, People's Republic of China.
BMC Musculoskelet Disord. 2022 Aug 20;23(1):795. doi: 10.1186/s12891-022-05709-8.
There is still some controversy about the augmentation of the inferior extensor retinaculum after arthroscopic anterior talofibular ligament repair. The aim of this study was to evaluate the novel arthro-Broström procedure with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques for chronic lateral ankle instability.
Thirty-four cases with grade-2 or grade-3 chronic anterior talofibular ligament lesions who underwent the novel arthro-Broström procedure with endoscopic retinaculum augmentation using all-inside lasso-loop stitch techniques were assessed retrospectively. A total of 30 cases (30 ankles) were followed up for a mean of 26.67 ± 4.19 months (range, 24-36 months). four cases were excluded due to insufficient medical records or loss of follow-up reports. The Cumberland Ankle Instability Tool scores, The Karlsson-Peterson scores and Visual Analogue Scale scores were evaluated before surgery and at the final follow-up time. Also, the results of stress fluoroscopic tests and complications were recorded.
At the final follow-up, the average of the Cumberland Ankle Instability Tool scores, The Karlsson-Peterson scores and Visual Analogue Scale scores were 86.63 ± 6.69 (range, 77-100), 90.17 ± 4.64 (range, 85-100) and 0.53 ± 0.63 (range, 0-2), respectively. Moreover, the results of stress fluoroscopic tests were improved significantly after surgery. Mild keloid formation and/or knot irritation were observed in four cases. No wound infections, nerve injuries and recurrent instability were recorded. Also, no stiffness or arthritis of the subtalar joint was encountered.
The arthro-Broström procedure combined with endoscopic retinaculum augmentation using all-inside lasso-loop techniques is reliable and safe due to the advantage of direct endoscopic visualization.
关节镜下修复前距腓韧带后，对下伸肌支持带进行加强仍存在一些争议。本研究旨在评估新型关节镜下 Broström 手术，采用全内套索环缝合技术对慢性外侧踝关节不稳定进行内镜下支持带加强。
回顾性分析 34 例慢性前距腓韧带损伤 2 级或 3 级患者，采用新型关节镜下 Broström 手术，采用全内套索环缝合技术进行内镜下支持带加强。共 30 例（30 足）平均随访 26.67 ± 4.19 个月（24-36 个月）。因病历资料不全或失访报告，排除 4 例。术前及末次随访时分别评估 Cumberland 踝关节不稳定工具评分、Karlsson-Peterson 评分和视觉模拟评分，记录应力荧光检查结果及并发症。
末次随访时，Cumberland 踝关节不稳定工具评分、Karlsson-Peterson 评分和视觉模拟评分分别为 86.63 ± 6.69（77-100）、90.17 ± 4.64（85-100）和 0.53 ± 0.63（0-2）。术后应力荧光检查结果明显改善。4 例出现轻度瘢痕形成和/或结刺激。无伤口感染、神经损伤和复发性不稳定。也未发生距下关节僵硬或关节炎。
关节镜下 Broström 手术结合全内套索环技术内镜下支持带加强具有直接内镜可视化的优势，可靠且安全。
