四束解剖型三角韧带重建：手术技术
Four-bundle anatomic deltoid ligament reconstruction: Surgical technique.
作者信息
Olory Bruno, Agostinone Piero, Hantouly Ashraf T, Zannoni Francesca, Al-Khelaifi Khalid, Papakostas Emmanouil, Getgood Alan, D'Hooghe Pieter
机构信息
Aspetar Orthopaedic and Sports Medicine Hospital Doha Qatar.
出版信息
J Exp Orthop. 2025 Sep 4;12(3):e70279. doi: 10.1002/jeo2.70279. eCollection 2025 Jul.
UNLABELLED
The deltoid ligament, the strongest medial ankle ligament, is often overlooked in ankle injuries, despite its substantial role in ankle stability. Medial sprains, accounting for 3%-4% of ankle injuries, are frequently misdiagnosed, leading to chronic pain, instability, and hindfoot valgus deformity. While most cases respond to conservative treatment, chronic injuries that fail conservative measures require surgical intervention. This technical paper introduces a novel four-bundle deltoid ligament reconstruction technique, restoring two anterior (superficial and deep) and two posterior (superficial and deep) bundles. This approach provides a solution for severe injuries and high-demand patients, permitting functional stability.
LEVEL OF EVIDENCE
Level V.
未标注
三角韧带是踝关节最强的内侧韧带，尽管其在踝关节稳定性中起重要作用，但在踝关节损伤中常被忽视。内侧扭伤占踝关节损伤的3%-4%，常被误诊，导致慢性疼痛、不稳定和后足外翻畸形。虽然大多数病例对保守治疗有效，但保守治疗无效的慢性损伤需要手术干预。本文介绍一种新颖的四束三角韧带重建技术，恢复两条前束（浅层和深层）和两条后束（浅层和深层）。该方法为严重损伤和高要求患者提供了解决方案，可实现功能稳定。
证据级别
V级。
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