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使用全内置和全无结软组织锚钉的慢性外侧踝关节不稳修复技术

Chronic Lateral Ankle Instability Repair Technique Using All-Inside and All-Knotless Soft-Tissue Anchors.

作者信息

Pereira Bruno S, Peixoto Maria Inês, Fabião Luís, Esteves Nuno, França Guilherme, Malheiro Filipe Sá, Espregueira-Mendes João

机构信息

Clínica Espregueira-FIFA Medical Centre of Excellence, Porto, Portugal.

Unidade Local de Saúde de Barcelos/Esposende, Barcelos, Portugal.

出版信息

Arthrosc Tech. 2025 Feb 22;14(6):103471. doi: 10.1016/j.eats.2025.103471. eCollection 2025 Jun.

DOI:10.1016/j.eats.2025.103471
PMID:40656727
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12255434/
Abstract

Chronic lateral ankle instability (CLAI) is common in sports. Whereas traditional open Broström-Gould surgery remains the gold standard for anterior talofibular ligament repair, advances in arthroscopic techniques with knotless suture anchors offer promising alternatives, reducing recovery time and complications. This article presents a minimally invasive arthroscopic technique for anterior talofibular ligament reconstruction with knotless anchors, reattaching the ligament to the fibula and minimizing risks of knot irritation and impingement. Postoperatively, patients follow a structured rehabilitation protocol, returning to full activity by 12 weeks. Compared with open techniques, this approach yields superior functional outcomes and esthetic benefits and addresses intra-articular issues associated with CLAI. The knotless arthroscopic technique yields a stable ligament repair with fewer neurologic risks, enhancing patient satisfaction and success. This procedure presents a safe, effective alternative for CLAI treatment.

摘要

慢性外侧踝关节不稳（CLAI）在体育运动中很常见。尽管传统的开放性布罗斯特伦-古尔德手术仍然是修复距腓前韧带的金标准，但无结缝线锚钉关节镜技术的进展提供了有前景的替代方法，可减少恢复时间和并发症。本文介绍了一种使用无结锚钉进行距腓前韧带重建的微创关节镜技术，将韧带重新附着于腓骨，并将结刺激和撞击的风险降至最低。术后，患者遵循结构化的康复方案，12周后恢复完全活动。与开放技术相比，这种方法产生更好的功能结果和美学效益，并解决了与CLAI相关的关节内问题。无结关节镜技术可实现稳定的韧带修复，神经风险更低，提高了患者满意度和成功率。该手术为CLAI治疗提供了一种安全、有效的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/b6556a5b1756/gr14.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/1962fb951c8c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/75a6e619a4e7/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/c561592b8aef/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/357d301eef36/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/8865d14e5f50/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/b6556a5b1756/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/aaf46d56b770/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/a1ee38089662/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/e6b2e7ebe8e3/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/42ef6ef5196b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/4b91bf0234ac/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/f06445909216/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/9a3c44a3278b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/70e4df89db36/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/1962fb951c8c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/75a6e619a4e7/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/c561592b8aef/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/357d301eef36/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/8865d14e5f50/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72b6/12255434/b6556a5b1756/gr14.jpg

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本文引用的文献

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Management and treatment of ankle sprain according to clinical practice guidelines: A PRISMA systematic review.根据临床实践指南管理和治疗踝关节扭伤：PRISMA 系统评价。
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