Foot and Ankle Division, Department of Orthopedic Surgery, NYU Langone Health, 171 Delancey Street, 2nd Floor, New York, NY 10002, USA.
Foot and Ankle Division, Department of Orthopedic Surgery, NYU Langone Health, 171 Delancey Street, 2nd Floor, New York, NY 10002, USA.
Foot Ankle Clin. 2023 Jun;28(2):345-354. doi: 10.1016/j.fcl.2023.01.005. Epub 2023 Mar 8.
Lateral ankle ligament complex injuries are most commonly managed nonoperatively. If no improvements have been made following conservative management, surgical intervention is warranted. Concerns have been raised regarding complication rates following open and traditional arthroscopic anatomical repair. In-office needle arthroscopic anterior talo-fibular ligament repair provides a minimally invasive arthroscopic approach to the diagnosis and treatment of chronic lateral ankle instability. The limited soft tissue trauma facilitates rapid return to daily and sporting activities making this an attractive alternative approach to lateral ankle ligament complex injuries.
外侧踝关节韧带复合体损伤通常采用非手术方法治疗。如果保守治疗后没有改善,则需要进行手术干预。对于开放式和传统关节镜解剖修复后并发症发生率的问题存在一些担忧。门诊关节镜下前距腓韧带修复术为慢性外侧踝关节不稳定的诊断和治疗提供了一种微创关节镜入路。这种方法对软组织的创伤较小,有利于患者更快地恢复日常活动和运动,因此成为外侧踝关节韧带复合体损伤的一种有吸引力的替代治疗方法。