Evans R D, Feller S R, Heath N S
Puget Sound Hospital, Tacoma, WA 98408, USA.
J Am Podiatr Med Assoc. 1998 Jun;88(6):279-84. doi: 10.7547/87507315-88-6-279.
This article presents a critical review of the Dockery procedure (autogenous peroneus longus free graft technique) for the treatment of lateral ankle instability. Those patients with gastrocnemius equinus were treated with gastrocnemius recession during surgery. The authors reviewed 33 stabilizations performed over a period of 7 years to analyze the effectiveness of the procedure with and without the addition of the gastrocnemius recession. Assessed were the type and length of conservative therapy, the time to return to regular activity, complications experienced, and the recurrence rate. The results show a reinjury rate of 3%. The complications included infection, prolonged healing, and occasional screw irritation requiring screw removal. In light of the low incidence of reinjury, this technique is a valid procedure for treating lateral ankle instability.
本文对用于治疗外侧踝关节不稳的多克里手术（自体游离腓骨长肌移植技术）进行了批判性综述。伴有马蹄状腓肠肌的患者在手术中接受了腓肠肌松解术。作者回顾了7年间进行的33例稳定手术，以分析该手术在加用或未加用腓肠肌松解术时的有效性。评估了保守治疗的类型和时长、恢复正常活动的时间、经历的并发症以及复发率。结果显示再损伤率为3%。并发症包括感染、愈合延长，以及偶尔出现的螺钉刺激需要取出螺钉。鉴于再损伤发生率较低，该技术是治疗外侧踝关节不稳的有效方法。
