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关节镜下三角韧带重建治疗旋转性踝关节不稳

Arthroscopic Deltoid Ligament Reconstruction in Rotational Ankle Instability.

作者信息

Li Charles Churk Hang, Lui Tun Hing

机构信息

Department of Orthopaedics and Traumatology, Sheung Shui, NT, Hong Kong SAR, China.

出版信息

Arthrosc Tech. 2023 Jun 19;12(7):e1179-e1184. doi: 10.1016/j.eats.2023.03.007. eCollection 2023 Jul.

DOI:10.1016/j.eats.2023.03.007
PMID:37533912
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10391247/
Abstract

Chronic lateral ankle instability is a common orthopaedic problem. The continuous stress applied by the lateral instability may affect the superficial deltoid ligament. The combination of lateral ankle instability and injury to the most anterior fascicles of the deltoid ligament contributes to rotational ankle instability. The purpose of this Technical Note is to describe the details of arthroscopic deltoid ligament reconstruction in rotational ankle instability. This minimally invasive approach allows other associated lesions to be detected and managed arthroscopically.

摘要

慢性外侧踝关节不稳是一种常见的骨科问题。外侧不稳所施加的持续应力可能会影响三角韧带浅层。外侧踝关节不稳与三角韧带最前部束带损伤相结合会导致踝关节旋转不稳。本技术说明的目的是描述踝关节旋转不稳关节镜下三角韧带重建的细节。这种微创方法能够在关节镜下检测和处理其他相关损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/178b71f4e8e9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/185a5c7aa34c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/c770af764b30/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/041b92df3de2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/58a5b358c7a1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/57ff47a6b60e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/b1d12f155dcb/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/178b71f4e8e9/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/185a5c7aa34c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/c770af764b30/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/041b92df3de2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/58a5b358c7a1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/57ff47a6b60e/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/b1d12f155dcb/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df02/10391247/178b71f4e8e9/gr7.jpg

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本文引用的文献

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Arthroscopically Assisted Reduction and Fixation of Deltoid Ligament Avulsion Fracture From Medial Malleolus.关节镜辅助下内踝三角韧带撕脱骨折的复位与固定
Arthrosc Tech. 2022 Sep 17;11(10):e1681-e1687. doi: 10.1016/j.eats.2022.06.001. eCollection 2022 Oct.
2
Medial and Lateral Combined Ligament Arthroscopic Repair for Multidirectional Ankle Instability.关节镜下内侧和外侧联合韧带修复治疗多向性踝关节不稳
Foot Ankle Orthop. 2021 Mar 8;6(1):2473011420986150. doi: 10.1177/2473011420986150. eCollection 2021 Jan.
3
Acute Deltoid Ligament Repair in Ankle Fractures.
关节镜辅助下准确确定外侧踝关节韧带重建骨隧道入口可能是慢性踝关节不稳定患者的更好选择:一项回顾性研究。
J Orthop Surg Res. 2024 Nov 14;19(1):760. doi: 10.1186/s13018-024-05251-4.
急性三角韧带修复术在踝关节骨折中的应用。
Foot Ankle Clin. 2020 Dec;25(4):597-612. doi: 10.1016/j.fcl.2020.08.009. Epub 2020 Sep 28.
4
Deltoid Ligament Injuries Associated With Ankle Fractures: Arguments For and Against Direct Repair.三角韧带损伤与踝关节骨折相关:直接修复的利弊。
J Am Acad Orthop Surg. 2021 Apr 15;29(8):e388-e395. doi: 10.5435/JAAOS-D-20-00323.
5
The Role of Deltoid Ligament Repair in Ankle Fractures With Syndesmotic Instability: A Systematic Review.三角韧带修复在踝关节骨折伴下胫腓联合不稳定中的作用:系统评价。
J Foot Ankle Surg. 2021 Jan-Feb;60(1):132-139. doi: 10.1053/j.jfas.2020.02.014. Epub 2020 Nov 4.
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Does repair of deltoid ligament contribute to restoring a mortise in SER type IV ankle fracture with syndesmotic diastasis?修复三角韧带是否有助于恢复伴有下胫腓联合分离的旋后外旋型IV度踝关节骨折的关节窝?
Arch Orthop Trauma Surg. 2022 Apr;142(4):535-541. doi: 10.1007/s00402-020-03645-7. Epub 2020 Oct 29.
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Role of surgery in the management of lesions of the medial collateral ligament of the ankle.手术在踝关节内侧副韧带损伤治疗中的作用
Orthop Traumatol Surg Res. 2020 Dec;106(8S):S195-S199. doi: 10.1016/j.otsr.2020.08.005. Epub 2020 Sep 6.
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Knee Surg Sports Traumatol Arthrosc. 2020 Jan;28(1):132-140. doi: 10.1007/s00167-017-4736-y. Epub 2017 Oct 5.