Farizon F, Paris D, Azoulai J J, Bousquet G
Centre d'Orthopédie Traumatologie, Hôpital de Bellevue, C.H.U de Saint Etienne.
Acta Orthop Belg. 1996 Mar;62(1):14-21.
We reviewed 95 ankles at an average of 9 years after an "activo-passive" operation performed for chronic lateral instability. All the patients had suffered recurrent ankle sprain or instability, with pain in 67 patients. Ten ankles showed a subtalar injury at operation. Degenerative changes were noted in 11 ankle joints. On review, 81 ankles (85%) were stable. The 14 cases with persistent instability had developed the problem one to five years after operation. Two cases presented with limitation in mobility. Osteoarthritis, found in 15 ankles, was severe in only two, and had been present on preoperative films. We found no correlation between functional results (talar tilt, anterior-drawer test) and radiological evaluation. The "activo-passive" operation provides long-term stabilization with preservation of the ankle and of subtalar mobility without severe osteoarthritis.
我们回顾了因慢性外侧不稳定接受“主动-被动”手术后平均9年的95例踝关节情况。所有患者均有复发性踝关节扭伤或不稳定，67例患者伴有疼痛。10例踝关节在手术时发现距下关节损伤。11个踝关节出现退变改变。复查时，81个踝关节（85%）稳定。14例持续不稳定的病例在术后1至5年出现问题。2例出现活动受限。15个踝关节发现骨关节炎，仅2例严重，且术前X线片已有表现。我们发现功能结果（距骨倾斜、前抽屉试验）与影像学评估之间无相关性。“主动-被动”手术可提供长期稳定，保留踝关节和距下关节活动度，且无严重骨关节炎。
