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经皮跟骨截骨术联合关节镜下外侧踝关节韧带重建治疗伴后足内翻的慢性踝关节不稳

Percutaneous Calcaneal Osteotomy Combined With Arthroscopic Lateral Ankle Ligament Reconstruction for Chronic Ankle Instability With Hindfoot Varus.

作者信息

Lopes Ronny, Moussa Mohamad K, Hardy Alexandre

机构信息

Centre Orthopédique Santy, Lyon, France.

Clinique du Sport, Paris, France.

出版信息

Arthrosc Tech. 2024 Apr 6;13(7):102989. doi: 10.1016/j.eats.2024.102989. eCollection 2024 Jul.

DOI:10.1016/j.eats.2024.102989
PMID:39100272
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11293359/
Abstract

Chronic ankle instability is the most frequent complication of lateral ankle sprain. Its reported incidence is approximately 40% after the first episode of instability. Although this rate varies depending on the type of activity, there are also certain risk factors associated with this condition, such as hyperlaxity, static or dynamic postural control deficits, and especially, hindfoot varus. If hindfoot varus is not managed when medical treatment fails and surgery is necessary, treatment may be unsuccessful, resulting in a poorer functional outcome and a higher rate of recurrent instability. Open hindfoot varus correction is often associated with poor wound healing and infectious complications. If ligament repair is also performed, the risk is increased by the numerous incisions. This article presents an arthroscopic lateral ankle ligament anatomic reconstruction technique with the gracilis tendon associated with percutaneous calcaneal osteotomy for the treatment of chronic ankle instability.

摘要

慢性踝关节不稳是外侧踝关节扭伤最常见的并发症。据报道，首次出现不稳后其发生率约为40%。尽管该发生率因活动类型而异，但也存在与这种情况相关的某些危险因素，如关节过度松弛、静态或动态姿势控制缺陷，尤其是后足内翻。如果在药物治疗失败且需要手术时后足内翻未得到处理，治疗可能会不成功，导致功能结果较差且复发性不稳的发生率较高。开放性后足内翻矫正通常与伤口愈合不良和感染性并发症相关。如果同时进行韧带修复，由于切口众多，风险会增加。本文介绍了一种关节镜下外侧踝关节韧带解剖重建技术，该技术采用股薄肌腱并结合经皮跟骨截骨术来治疗慢性踝关节不稳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/9aa057577517/gr14.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/f0fb863dee8a/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/9aa057577517/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/f07bb7843b21/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/0dff62983499/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/190f7079fc64/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/01ea0f6a9a56/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/fbf6235583c3/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/e422f851cc56/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/6d49eee10a12/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/06d790517d79/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/98899ab36238/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/eb57203c993a/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/971ab7f3d9f3/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/781056144c9a/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/f0fb863dee8a/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcfa/11293359/9aa057577517/gr14.jpg

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本文引用的文献

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Successful Return to Sport and Daily Activities After Suture Augmentation of Both the Anterior Talofibular Ligament and Calcaneofibular Ligament.前距腓韧带和跟腓韧带缝合增强术后成功恢复运动及日常活动
Arthrosc Sports Med Rehabil. 2023 Aug 14;5(5):100762. doi: 10.1016/j.asmr.2023.100762. eCollection 2023 Oct.
2
Arthroscopic and Open Procedures Result in Similar Calcaneal Tunnels for Anatomical Reconstruction of Lateral Ankle Ligaments.关节镜手术和开放手术在用于外踝韧带解剖重建时可形成相似的跟骨隧道。
Arthrosc Sports Med Rehabil. 2023 May 13;5(3):e687-e694. doi: 10.1016/j.asmr.2023.03.010. eCollection 2023 Jun.
3
Both Open and Arthroscopic All-Inside Anatomic Reconstruction With Autologous Gracilis Tendon Restore Ankle Stability in Patients With Chronic Lateral Ankle Instability.
开放性和关节镜下全内解剖重建联合自体股薄肌腱重建可恢复慢性外侧踝关节不稳患者的踝关节稳定性。
Arthroscopy. 2023 Apr;39(4):1035-1045. doi: 10.1016/j.arthro.2022.11.035. Epub 2022 Dec 8.
4
Revision lateral ankle ligament reconstruction for patients with a failed modified Brostrom procedure.改良 Brostrom 手术失败患者的外侧踝关节韧带重建翻修术。
J Orthop Surg (Hong Kong). 2022 Sep-Dec;30(3):10225536221125948. doi: 10.1177/10225536221125948.
5
Complications After Percutaneous Osteotomies of the Calcaneus.跟骨经皮截骨术后的并发症
Foot Ankle Orthop. 2022 Aug 23;7(3):24730114221119731. doi: 10.1177/24730114221119731. eCollection 2022 Jul.
6
Calcaneal osteotomy for hindfoot deformity.跟骨截骨术治疗后足畸形
Orthop Traumatol Surg Res. 2022 Feb;108(1S):103121. doi: 10.1016/j.otsr.2021.103121. Epub 2021 Oct 20.
7
Osteotomy combined with lateral ligament reconstruction in treating osteochondral lesion in patients with talar injury and varus ankle.切开复位联合外侧副韧带重建治疗距骨损伤伴内翻踝骨软骨损伤
Medicine (Baltimore). 2021 Mar 26;100(12):e24330. doi: 10.1097/MD.0000000000024330.
8
Epidemiology of Ankle Sprains and Chronic Ankle Instability.踝关节扭伤和慢性踝关节不稳定的流行病学。
J Athl Train. 2019 Jun;54(6):603-610. doi: 10.4085/1062-6050-447-17. Epub 2019 May 28.
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