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同种异体移植物关节镜下解剖学外侧踝关节重建:一种简化方法

Arthroscopic Anatomic Lateral Ankle Reconstruction Using Allograft: A Simplified Approach.

作者信息

Alayane Ali, Moussa Mohamad K, Vieira Thais Dutra, Lopes Ronny

机构信息

Centre Orthopédique Santy, Lyon, France.

Clinique du Sport, Paris, France.

出版信息

Arthrosc Tech. 2024 Jun 1;13(10):103063. doi: 10.1016/j.eats.2024.103063. eCollection 2024 Oct.

Abstract

Ankle instability is a common medical condition that frequently necessitates surgical intervention to achieve ankle joint stability and enhance functional outcomes after failure of conservative treatment. Many surgical techniques have been described in the literature to restore joint stability, including repair or reconstruction of the anterior talofibular ligament and the calcaneofibular ligament. In this article, we describe a simplified arthroscopic technique for anatomic lateral ankle ligament reconstruction using an extensor hallucis longus allograft and involving percutaneous creation of the calcaneal tunnel after identification of the calcaneofibular ligament distal footprint insertion relative to the lateral malleolus.

摘要

踝关节不稳是一种常见的医学病症,在保守治疗失败后,常常需要手术干预以实现踝关节稳定并改善功能预后。文献中已描述了多种恢复关节稳定的手术技术,包括修复或重建距腓前韧带和跟腓韧带。在本文中,我们描述了一种简化的关节镜技术,用于使用拇长伸肌同种异体移植物进行踝关节外侧韧带解剖重建,该技术包括在确定跟腓韧带相对于外踝的远端足迹插入点后经皮创建跟骨隧道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/b12aa1c4ab6e/gr1.jpg

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