Xue Xiao'ao, Yu Le, Zheng Shanshan, Gu Xicheng, Na Yuyan, Xia Tian, Jue Hao, Chen Tianwu, Li Hong, Li Hongyun, Wang Ru, Hua Yinghui
Department of Sports Medicine, Huashan Hospital, Fudan University, Shanghai, China.
School of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2023 Dec 21;35:48-58. doi: 10.1016/j.asmart.2023.11.005. eCollection 2024 Jan.
Surgical repair or reconstruction of the lateral ligaments for patients with chronic ankle instability (CAI) could, logically, restore the proprioception of ankle through retensing receptors. To validate this hypothesis, seven databases were systematically searched, and thirteen studies comprising a total of 347 patients with CAI were included. Although five studies reported improved proprioceptive outcomes after surgeries, the other five studies with between-limb/group comparisons reported residual deficits at final follow-up, which does not consistently support proprioceptive recovery after existing surgical restabilization for CAI. More controlled studies are needed to provide evidence-based protocols to improve proprioceptive recovery after ankle restabilization for CAI.
对于慢性踝关节不稳(CAI)患者,从逻辑上讲,外侧韧带的手术修复或重建可以通过重新拉紧感受器来恢复踝关节的本体感觉。为了验证这一假设,系统检索了七个数据库,纳入了13项研究,共347例CAI患者。尽管五项研究报告了手术后本体感觉结果有所改善,但其他五项进行肢体间/组间比较的研究报告在最终随访时仍存在残余缺陷,这并不一致支持现有CAI手术稳定后本体感觉的恢复。需要更多对照研究来提供循证方案,以改善CAI踝关节稳定后本体感觉的恢复。