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关节镜下前距腓韧带修复的钩针技术：技术说明

Crochet Hook Technique for Arthroscopic Anterior Talofibular Ligament Repair: Technique Note.

作者信息

Liu Zitao, Li Jing, Chen Gengxin, Gao Shihua, Feng Enhui, Su Haitao, Chen Haiyun, Jiang Tao

机构信息

Department of Orthopaedics, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510261, China.

The Second Clinical School of Guangzhou University of Chinese Medicine, Guangzhou 510006, China.

出版信息

J Clin Med. 2022 Nov 24;11(23):6922. doi: 10.3390/jcm11236922.

DOI:10.3390/jcm11236922
PMID:36498499
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9740159/
Abstract

Ankle sprains can lead to chronic lateral ankle instability caused by an injured anterior talofibular ligament (ATFL), and surgery is often required when conservative treatments fail. BROSTROM surgery is considered the gold standard and has a definite curative effect. Advancements in arthroscopic surgery and improvements in implanted anchors have led to an increase in ATFL repairs using arthroscopic surgery. Arthroscopic AFTL repair is less invasive, and patients could experience faster recovery compared to open AFTL repair. To simplify the complicated suture-passing processes in arthroscopic AFTL repair, we developed a crochet hook and loop wire technique, which is described in this paper.

摘要

踝关节扭伤可导致由前距腓韧带（ATFL）损伤引起的慢性外侧踝关节不稳，保守治疗失败时通常需要手术治疗。BROSTROM手术被认为是金标准，且疗效确切。关节镜手术的进展和植入锚钉的改进使得采用关节镜手术进行ATFL修复的病例有所增加。与开放性ATFL修复相比，关节镜下AFTL修复的侵入性较小，患者恢复更快。为简化关节镜下AFTL修复中复杂的缝线传递过程，我们开发了一种钩针环扎线技术，本文将对此进行描述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/d1cee3f89a3a/jcm-11-06922-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/538f4e2a728d/jcm-11-06922-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/54f27b660dca/jcm-11-06922-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/d908683d8f3a/jcm-11-06922-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/437b3521b7a8/jcm-11-06922-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/d1cee3f89a3a/jcm-11-06922-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/538f4e2a728d/jcm-11-06922-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/54f27b660dca/jcm-11-06922-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/d908683d8f3a/jcm-11-06922-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/437b3521b7a8/jcm-11-06922-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aef2/9740159/d1cee3f89a3a/jcm-11-06922-g005.jpg

相似文献

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Crochet Hook Technique for Arthroscopic Anterior Talofibular Ligament Repair: Technique Note.关节镜下前距腓韧带修复的钩针技术：技术说明
J Clin Med. 2022 Nov 24;11(23):6922. doi: 10.3390/jcm11236922.
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All-inside arthroscopic modified Broström-Gould procedure for chronic lateral ankle instability with and without anterior talofibular ligament remnant repair produced similar functional results.对于合并和不合并距腓前韧带残端修复的慢性外侧踝关节不稳，全关节镜下改良 Broström-Gould 手术可获得相似的功能结果。
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Arthroscopic ankle lateral ligament repair with biological augmentation gives excellent results in case of chronic ankle instability.关节镜下踝关节外侧韧带修复结合生物增强可在慢性踝关节不稳定的情况下取得极佳的效果。
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Activity Level and Function 2 Years After Anterior Talofibular Ligament Repair: A Comparison Between Arthroscopic Repair and Open Repair Procedures.距腓前韧带修复术后2年的活动水平与功能：关节镜修复与开放修复手术的比较
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Arthroscopic all-inside ATFL and CFL repair is feasible and provides excellent results in patients with chronic ankle instability.关节镜下全内 ATFL 和 CFL 修复术在慢性踝关节不稳定患者中是可行的，并能提供优异的疗效。
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Anterior talofibular ligament (ATFL) repair using two suture anchors produced better functional outcomes than using one suture anchor for the treatment of chronic lateral ankle instability.前距腓韧带（ATFL）修复采用两个缝线锚钉优于采用一个缝线锚钉治疗慢性外侧踝关节不稳定，可获得更好的功能结果。
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Arthroscopic all-inside anterior talo-fibular ligament repair with suture augmentation gives excellent results in case of poor ligament tissue remnant quality.关节镜下全内眼前距腓韧带修复术联合缝线增强可获得良好的效果，尤其是在韧带组织残端质量较差的情况下。
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引用本文的文献

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World J Clin Cases. 2023 May 26;11(15):3395-3407. doi: 10.12998/wjcc.v11.i15.3395.

本文引用的文献

1
What is the quality of clinical practice guidelines for the treatment of acute lateral ankle ligament sprains in adults? A systematic review.成人急性外侧踝关节韧带扭伤治疗的临床实践指南质量如何？系统评价。
BMC Musculoskelet Disord. 2019 Aug 31;20(1):394. doi: 10.1186/s12891-019-2750-6.
2
Return to Play after Modified Broström Operation for Chronic Ankle Instability in Elite Athletes.返回运动：精英运动员慢性踝关节不稳改良 Broström 术后。
Clin Orthop Surg. 2019 Mar;11(1):126-130. doi: 10.4055/cios.2019.11.1.126. Epub 2019 Feb 18.
3
Knotless Modified Arthroscopic-Broström Technique for Ankle Instability.
关节镜下改良 Broström 技术治疗踝关节不稳定。
Foot Ankle Int. 2019 Apr;40(4):475-483. doi: 10.1177/1071100718820341. Epub 2019 Jan 11.
4
Evaluation of functional ankle instability assessed by an instrumented wobble board.使用仪器化摆动板评估功能性踝关节不稳。
Phys Ther Sport. 2019 Jan;35:133-138. doi: 10.1016/j.ptsp.2018.12.002. Epub 2018 Dec 8.
5
Chronic Lateral Ankle Instability: Open Surgical Management.慢性外侧踝关节不稳：开放手术治疗
Foot Ankle Clin. 2018 Dec;23(4):539-554. doi: 10.1016/j.fcl.2018.07.002. Epub 2018 Sep 27.
6
Clinical Outcomes of the Modified Broström Technique in the Management of Chronic Ankle Instability After Early, Intermediate, and Delayed Presentation.改良 Broström 技术治疗早期、中期和延迟就诊的慢性踝关节不稳的临床疗效
J Foot Ankle Surg. 2018 Jul-Aug;57(4):685-688. doi: 10.1053/j.jfas.2017.12.003. Epub 2018 Apr 11.
7
Arthroscopic Lateral Ligament Repair Through Two Portals in Chronic Ankle Instability.经双切口关节镜下外侧韧带修复治疗慢性踝关节不稳
Open Orthop J. 2017 Jul 31;11:617-632. doi: 10.2174/1874325001711010617. eCollection 2017.
8
All-arthroscopic anatomical reconstruction of anterior talofibular ligament using semitendinosus autografts.使用半腱肌自体移植物进行全关节镜下距腓前韧带解剖重建。
Int Orthop. 2017 May;41(5):975-982. doi: 10.1007/s00264-017-3410-9. Epub 2017 Feb 23.
9
Arthroscopic Repair of Ankle Instability With All-Soft Knotless Anchors.使用全软质无结锚钉进行踝关节不稳的关节镜修复术。
Arthrosc Tech. 2016 Feb 1;5(1):e99-e107. doi: 10.1016/j.eats.2015.10.010. eCollection 2016 Feb.
10
Activity Level and Function After Lateral Ankle Ligament Repair Versus Reconstruction.外侧踝关节韧带修复与重建后的活动水平及功能
Am J Sports Med. 2016 May;44(5):1301-8. doi: 10.1177/0363546515627817. Epub 2016 Feb 26.