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关节镜下踝关节韧带修复的挑战与并发症:当前概念

Challenges and complications in arthroscopic ankle ligament repair: Current concepts.

作者信息

Crosa Juan Ignacio, Goveo Mauro Andres, Peralta Juan Ignacio, Vago Anaya Fernando, Loncharich Emiliano

机构信息

Hospital Britanico de Buenos Aires, Perdriel 74, C1280AEB, Argentina.

出版信息

J Clin Orthop Trauma. 2025 Jan 3;62:102906. doi: 10.1016/j.jcot.2025.102906. eCollection 2025 Mar.

Abstract

Arthroscopic ligament repair has gained popularity as a minimally invasive alternative for addressing ankle instability, due to its minimally invasive nature, which offers significant advantages over traditional open procedures. These benefits include smaller incisions, reduced soft tissue dissection, and the ability to concurrently manage intra-articular pathology, contributing to its popularity among surgeons and patients alike. Despite these advantages, the procedure presents a range of technical challenges and potential complications that can impact patient outcomes. Persistent instability, improper tensioning, and issues related to suture anchors are some of the primary concerns. Understanding these complexities and employing targeted strategies to mitigate them is essential for improving patient outcomes. Continued research and refinement of surgical techniques will play a key role in enhancing the safety and efficacy of this procedure.

摘要

关节镜韧带修复术作为治疗踝关节不稳的一种微创替代方法越来越受欢迎,因其微创特性,与传统开放手术相比具有显著优势。这些优势包括切口更小、软组织剥离减少以及能够同时处理关节内病变,这使得它在外科医生和患者中都很受欢迎。尽管有这些优点,但该手术存在一系列技术挑战和潜在并发症,可能会影响患者的治疗效果。持续的不稳定、张力调整不当以及与缝合锚相关的问题是一些主要关注点。了解这些复杂性并采用有针对性的策略来减轻它们对于改善患者治疗效果至关重要。持续的研究和手术技术的改进将在提高该手术的安全性和有效性方面发挥关键作用。

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