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踝关节外侧韧带急性损伤的手术治疗结果(作者译)

[Results after surgical treatment of acute injuries to the lateral ligament of the ankle (author's transl)].

作者信息

Hendrich V, Kuner E H, Weiling J

出版信息

Unfallchirurgie. 1982 Feb;8(1):65-8. doi: 10.1007/BF02585793.

DOI:10.1007/BF02585793
PMID:7072003
Abstract

105 patients with acute injuries of the fibular collateral ligament were treated surgically. Diagnoses and following treatment were based on X-rays in stressed positions (talar tilt and anterior drawer sign) compared with the other side. More than fifty percent were athletic injuries. After surgical treatment patients wore a below-knee plaster cast for 6 weeks. 90 patients were seen after an average interval of 24 months; another 7 were assessed on the basis of patient's judgement. In 7 cases the X-ray control showed some instability (talar tilt greater than 5 degree and anterior drawer sign greater than 2mm). At physical examination we found in some cases minor differences in mobility, swelling and pain. 14 patients showed hypesthesia on the lateral side of the dorsum of the foot. No patient had to give up his sport activities due to the ligamentous injury, 89 (97 were asked) were content with the result.

摘要

105例腓侧副韧带急性损伤患者接受了手术治疗。诊断及后续治疗基于应力位X线片(距骨倾斜和前抽屉试验)并与对侧进行比较。超过50%为运动损伤。手术治疗后,患者佩戴膝下石膏固定6周。平均间隔24个月后对90例患者进行了随访;另外7例根据患者的判断进行了评估。7例X线检查显示存在一定程度的不稳定(距骨倾斜大于5度,前抽屉试验大于2mm)。体格检查发现,部分病例在活动度、肿胀和疼痛方面存在轻微差异。14例患者足背外侧感觉减退。没有患者因韧带损伤而不得不放弃体育活动,89例(共询问了97例)对治疗结果满意。

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引用本文的文献

1
Injuries of the lateral ligaments of the ankle joint. Operative treatment and long-term results.踝关节外侧韧带损伤。手术治疗及长期疗效。
Arch Orthop Trauma Surg (1978). 1988;107(4):217-21. doi: 10.1007/BF00449671.

本文引用的文献

1
[Diagnosis of fibulotalar ligament lesions during growth (author's transl)].生长过程中腓距韧带损伤的诊断(作者译)
Unfallheilkunde. 1981 Apr;84(4):133-8.
2
Articular reflexes at the ankle joint: an electromyographic study of normal and abnormal influences of ankle-joint mechanoreceptors upon reflex activity in the leg muscles.踝关节的关节反射:一项关于踝关节机械感受器对腿部肌肉反射活动的正常及异常影响的肌电图研究。
Br J Surg. 1967 Dec;54(12):990-1001. doi: 10.1002/bjs.1800541204.
3
Treatment of ruptures of the lateral ligament of the ankle.踝关节外侧韧带断裂的治疗
J Bone Joint Surg Br. 1965 Nov;47(4):661-8.
4
[On the treatment of freshly ruptured fibular collateral ligaments and chronic insufficiency of the fibular collateral ligaments].[论新鲜断裂的腓侧副韧带及腓侧副韧带慢性功能不全的治疗]
Arch Orthop Unfallchir. 1969;65(3):251-7. doi: 10.1007/BF00415867.
5
[The mechanical stability of the ankle joint after rupture of the lateral ligament (author's transl)].外侧韧带断裂后踝关节的机械稳定性(作者译)
Arch Orthop Unfallchir. 1974;80(1):53-61. doi: 10.1007/BF00416541.
6
[Peroneal nerve palsy after trauma of the ankle (author's transl)].
Schweiz Rundsch Med Prax. 1974 Apr 23;63(16):476-81.
7
[A fixation apparatus for differential indication on fibular band lesions].[一种用于腓骨带损伤鉴别指示的固定装置]
Helv Chir Acta. 1976 Mar;43(1-2):195-203.
8
[Therapy and prognosis of fresh external ankle ligament lesions (author's transl)].新鲜外踝韧带损伤的治疗与预后(作者译)
Unfallheilkunde. 1976 Mar;79(3):101-4.
9
Ruptures of the fibular collateral ligaments of the ankle. Result study of immediate surgical treatment.踝关节腓侧副韧带断裂。即刻手术治疗的结果研究
J Bone Joint Surg Am. 1975 Jan;57(1):101-7.
10
[Primary external ligament suture of the ankle joint following rupture].踝关节韧带断裂后一期外韧带缝合术
Hefte Unfallheilkd. 1978(131):116-24.