Kleinevoß Moritz, Yao Daiwei, Plaass Christian, Stukenborg-Colsman Christina, Daniilidis Kiriakos, Ettinger Sarah, Claassen Leif
Diakovere Annastift - Orthopedic Department Medizinische Hochschule Hannover.
Orthop Rev (Pavia). 2024 Sep 8;16:120051. doi: 10.52965/001c.120051. eCollection 2024.
Ligamentous lesions of the ankle joint are common. Isolated medial ligament injuries are rare but are often associated with lateral ligament injuries, isolated medial ligament lesions are often overlooked. The present study aimed to evaluate the clinical and functional differences in the outcomes of isolated lateral and combined medial and lateral ligament reconstruction. The study is based on patient-reported outcome measurements and motion sensor technology to assess these outcomes.
The purpose of this study was to compare the clinical and functional outcomes of isolated lateral and combined lateral and medial ankle ligament reconstruction.
From December 2014 to August 2018, 111 patients underwent either isolated lateral ligament (LG) or medial and lateral ligament (MLG) reconstruction. Of the 104 patients meeting the inclusion criteria, 49 had LG and 55 had MLG reconstruction. Outcome measures included the Short Form-36 Health Survey SF-36, Foot and Ankle Outcome Score (FAOS), Foot and Ankle Ability Measure (FAAMG), Tegner Activity Scale, the European Foot and Ankle Society (EFAS), American Orthopaedic Foot and Ancle Society (AOFAS) hindfoot score, and the Karlsson Peterson Score. Mobility and stability were assessed using the Ortheligent™ motion sensor for both healthy and treated ankles.
While there were no significant differences in outcome scores between the groups, overall scores improved after treatment (p >0.00). Notably LG showed improved movement, with better dorsal extension measured by the Sensor (p ÷ 0.02). The sensor's results correlated significantly with FAOS subscales for pain (p ÷0.05), stiffness (p ÷ 0.01), ADL (p ÷0.02), and sports (p >0.00).
Postoperative results, regardless of LG or MLG, showed significant subjective well-being improvement. LG's advantages were highlighted by a significant improvement in dorsal extension, supported by correlated results from a portable motion sensor assessing ankle stability.
踝关节韧带损伤很常见。孤立的内侧韧带损伤很少见，但常与外侧韧带损伤相关，孤立的内侧韧带损伤常被忽视。本研究旨在评估孤立的外侧韧带重建与内侧和外侧韧带联合重建在临床和功能结果上的差异。该研究基于患者报告的结果测量和运动传感器技术来评估这些结果。
本研究的目的是比较孤立的外侧和内侧及外侧联合踝关节韧带重建的临床和功能结果。
2014年12月至2018年8月，111例患者接受了孤立的外侧韧带（LG）或内侧和外侧韧带（MLG）重建。在符合纳入标准的104例患者中，49例行LG重建，55例行MLG重建。结果测量包括简短健康调查问卷SF-36、足踝结果评分（FAOS）、足踝能力测量（FAAMG）、特格纳活动量表、欧洲足踝协会（EFAS）、美国矫形足踝协会（AOFAS）后足评分和卡尔森·彼得森评分。使用Ortheligent™运动传感器评估健康和治疗后踝关节的活动度和稳定性。
虽然两组之间的结果评分没有显著差异，但治疗后总体评分有所改善（p>0.00）。值得注意的是，LG组的活动度有所改善，传感器测量的背伸更好（p÷0.02）。传感器的结果与FAOS疼痛亚量表（p÷0.05）、僵硬亚量表（p÷0.01）、日常生活活动亚量表（p÷0.02）和运动亚量表（p>0.00）显著相关。
无论LG还是MLG，术后结果均显示主观幸福感有显著改善。LG组背伸的显著改善突出了其优势，便携式运动传感器评估踝关节稳定性的相关结果也支持了这一点。
