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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.

DOI:10.1016/j.eats.2024.103063
PMID:39479024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11519856/
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/11519856/8bf4f0af7a45/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/b12aa1c4ab6e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/6aad7d478508/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/49a907ae3100/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/f29be98645bc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/a277035cec89/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/6ea274c3a42c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/33bb043e3b60/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/06a5f206c54a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/e91970c8ac04/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/3eeb3b0625d7/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/8bf4f0af7a45/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/b12aa1c4ab6e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/6aad7d478508/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/49a907ae3100/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/f29be98645bc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/a277035cec89/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/6ea274c3a42c/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/33bb043e3b60/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/06a5f206c54a/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/e91970c8ac04/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/3eeb3b0625d7/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/984f/11519856/8bf4f0af7a45/gr11.jpg

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本文引用的文献

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Development and Validation of the Ankle-GO Score for Discriminating and Predicting Return-to-Sport Outcomes After Lateral Ankle Sprain.踝关节 GO 评分的制定与验证：用于鉴别与预测外侧踝关节扭伤后重返运动的结局。
Sports Health. 2024 Jan-Feb;16(1):47-57. doi: 10.1177/19417381231183647. Epub 2023 Jul 11.
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
The Burden of the "Simple Ankle Sprains": A Review of the Epidemiology and Long-Term Impact.
“简单踝关节扭伤”的负担：流行病学和长期影响综述。
Foot Ankle Clin. 2023 Jun;28(2):187-200. doi: 10.1016/j.fcl.2022.12.002. Epub 2023 Feb 26.
4
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.
5
Hybrid Ankle Reconstruction of Lateral Ligaments.外侧韧带的混合式踝关节重建术
Arthrosc Tech. 2021 Feb 22;10(3):e931-e939. doi: 10.1016/j.eats.2020.11.015. eCollection 2021 Mar.
6
A calcaneal tunnel for CFL reconstruction should be directed to the posterior inferior medial edge of the calcaneal tuberosity.跟骨隧道应指向跟骨结节后内下侧缘。
Knee Surg Sports Traumatol Arthrosc. 2021 Apr;29(4):1325-1331. doi: 10.1007/s00167-020-06134-x. Epub 2020 Jul 1.
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An oblique fibular tunnel is recommended when reconstructing the ATFL and CFL.重建 ATFL 和 CFL 时，建议采用斜腓骨隧道。
Knee Surg Sports Traumatol Arthrosc. 2020 Jan;28(1):124-131. doi: 10.1007/s00167-019-05583-3. Epub 2019 Jun 25.
8
The use of allograft tendons in primary ACL reconstruction.同种异体肌腱在初次 ACL 重建中的应用。
Knee Surg Sports Traumatol Arthrosc. 2019 Jun;27(6):1754-1770. doi: 10.1007/s00167-019-05440-3. Epub 2019 Mar 4.
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Lateral ankle ligament anatomic reconstruction for chronic ankle instability: Allograft or autograft? A systematic review.外侧踝关节韧带解剖重建治疗慢性踝关节不稳定：同种异体移植物或自体移植物？系统评价。
Foot Ankle Surg. 2020 Jan;26(1):85-93. doi: 10.1016/j.fas.2018.11.014. Epub 2018 Dec 6.
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Endoscopic Ankle Lateral Ligament Graft Anatomic Reconstruction.内镜下踝关节外侧韧带移植解剖重建术
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