Bennett W F
UTHSC/Texas Medicine Center, Houston.
Orthop Rev. 1994 Jun;23(6):504-10.
This paper reviews the treatment alternatives for acute and chronic lateral ankle ligament sprains. Inadequately treated ankle sprains can result in chronic lateral ankle instability, disabling pain, and the early onset of osteoarthritis. There are a multitude of reconstructive techniques used for chronic lateral ankle instability. Morbidity associated with present techniques includes loss of proprioception, stiffness following cast immobilization, loss of subtalar motion, loss of internal rotation of the talus during ankle plantar flexion, and recurrent instability. In addition, this paper reviews the reconstructive techniques used for chronic lateral ankle instability, addresses the shortcomings of current reconstructive techniques, and proposes alternatives that may help decrease associated morbidity.
本文综述了急慢性外侧踝关节韧带扭伤的治疗选择。踝关节扭伤若治疗不当，可导致慢性外侧踝关节不稳、致残性疼痛以及骨关节炎的早期发作。用于慢性外侧踝关节不稳的重建技术众多。当前技术所伴随的并发症包括本体感觉丧失、石膏固定后僵硬、距下关节活动丧失、踝关节跖屈时距骨内旋丧失以及复发性不稳。此外，本文还综述了用于慢性外侧踝关节不稳的重建技术，指出了当前重建技术的不足，并提出了可能有助于降低相关并发症的替代方案。
