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改良沃森-琼斯移植术治疗外侧韧带慢性腓骨不稳定的结果(作者译)

[Results of a modified Watson-Jones graft used in the treatment of chronic fibular instability of the lateral ligaments (author's transl)].

作者信息

Keller E, Meeder P J, Weller S

出版信息

Aktuelle Traumatol. 1981 Oct;11(5):179-84.

PMID:6119019
Abstract

Pathogenesis, signs and diagnosis of the chronic instability of the lateral ligaments of the upper ankle are described. The advantages and disadvantages of a modified Watson-Jones graft are discussed and are compared with other surgical procedures. From 1970 to 1980, 157 modified Watson-Jones grafts were performed at the Trade Association Accident Clinic in Tübingen. Follow-up examinations were possible in 100 patients. In none of the patients was it possible to demonstrate the same extent of pre-operative instability; the functional reduction of mobility appeared minimal. 39 of 54 athletes resumed full sports activities, and 89% of the patients stated they were satisfied with the results. The modified Watson-Jones graft, in spite of the well-known objections, is recommended as a satisfying method of treating chronic fibular instability.

摘要

本文描述了上踝关节外侧韧带慢性不稳定的发病机制、体征及诊断方法。探讨了改良沃森-琼斯移植术的优缺点,并与其他外科手术方法进行了比较。1970年至1980年期间,图宾根贸易协会事故诊所共进行了157例改良沃森-琼斯移植术。100例患者接受了随访检查。所有患者术后均未出现术前同等程度的不稳定;活动功能的降低似乎微乎其微。54名运动员中有39人恢复了全部体育活动,89%的患者表示对结果满意。尽管存在一些众所周知的反对意见,但改良沃森-琼斯移植术仍被推荐为治疗慢性腓骨不稳定的一种令人满意的方法。

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