RECONSTRUCTION OF THE LATERAL LIGAMENTS OF THE ANKLE FOR CHRONIC LATERAL INSTABILITY
RECONSTRUCTION OF THE LATERAL LIGAMENTS OF THE ANKLE FOR CHRONIC LATERAL INSTABILITY
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DOI：
10.2106/00004623-198870040-00015
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发表时间：
1988-04-01
影响因子：
5.3
通讯作者：
PETERSON, L
中科院分区：
文献类型：
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作者：
KARLSSON, J;BERGSTEN, T;PETERSON, L
对176例（180个踝关节）慢性踝关节外侧不稳定患者进行了距腓前韧带横断和叠瓦术治疗。68个踝关节也进行了跟腓韧带重建。在176名患者中，148名（152个踝关节）可用于随访，随访时间范围为2 - 12年（平均6年）。在132个踝关节中获得了极好或良好的结果，所有这些踝关节的X线测量机械稳定性都有所改善。结果不满意的20个踝关节中有16个是关节活动过度或长期局部韧带功能不全，或两者兼而有之，或既往接受过手术的患者。两个韧带的重建比仅重建前距腓韧带时得到更好的功能结果。
One hundred and seventy-six patients (180 ankles) who had chronic lateral instability of the ankle were treated with transection and imbrication of the anterior talofibular ligament. Sixty-eight of the ankles had reconstruction of the calcaneofibular ligament as well. Of the 176 patients, 148 (152 ankles) were available for follow-up, which ranged from two to twelve years (mean, six years). An excellent or good result was achieved in 132 ankles, all of which had improved mechanical stability as measured radiographically. Sixteen of the twenty ankles that had an unsatisfactory result were in patients who had generalized hypermobility of the joints or long-standing local ligamentous insufficiency, or both, or who had had a previous operation. Reconstruction of both ligaments gave a better functional result than when only the anterior talofibular ligament was reconstructed.