The clinical outcomes of surgical treatment for chronic ankle instability by anatomical reconstruction of the anterior talofibular ligament with autologous half-bundle peroneal longus tendon: A retrospective study.
The clinical outcomes of surgical treatment for chronic ankle instability by anatomical reconstruction of the anterior talofibular ligament with autologous half-bundle peroneal longus tendon: A retrospective study.
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DOI：
10.3389/fsurg.2022.926825
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发表时间：
2022
影响因子：
1.8
通讯作者：
Chen, Bei
中科院分区：
文献类型：
--
作者：
Luo, Yeqiang;Lin, Shanghui;Kong, Lingchuang;Jin, Yan;Wang, Renkai;Zhang, Ying;Li, Baofeng;Chen, Bei
关键词：
距腓前韧带是最脆弱、最易损伤的外侧韧带，通过解剖重建可替代解剖位置。本研究的目的是评价自体半束腓骨长肌腱解剖重建后的临床结局。我们对2018年1月至2020年3月期间入组的34例距腓前韧带损伤患者[22例男性和12例女性，中位年龄21（范围19-26）岁]进行了回顾性分析。所有患者均接受了自体腓骨长肌腱半束韧带解剖重建手术，平均随访时间为16.21 ± 3.20（范围12-24）个月，研究期间无患者失访。采用美国足踝协会评分（AOFAS）、视觉疼痛评分（VAS）、胫距前移位评定疗效。比较术前与末次随访时各项指标的差异，并进行统计学分析。AOFAS评分从术前平均56.91 ± 3.79分显著改善至末次随访时的94.12 ± 2.51分（p < 0.001）。同时，术前VAS疼痛评分从5.94 ± 1.32降至1.71 ± 0.87（p < 0.001）。此外，胫距前平移从16.40 ± 1.85 mm降至最终随访时的5.20 ± 0.57 mm（p < 0.001）。 所有患者术后前抽屉试验均为阴性。考虑到结果，我们得出结论，采用自体半束腓骨长肌腱解剖重建距腓前韧带是治疗慢性踝关节外侧不稳定的适当和安全的手术方法，临床效果良好，并发症最少。
The anterior talofibular ligament is the weakest and most vulnerable lateral ligament to be injured, and it can replace anatomical position through anatomical reconstruction. The purpose of this study is to evaluate clinical outcomes after an autologous half-bundle peroneus longus tendon anatomical reconstruction. We conducted a retrospective analysis by enrolling 34 patients [22 male and 12 female, median age 21 (range 19–26) years] with anterior talofibular ligament injury from January 2018 to March 2020. All patients underwent a ligament anatomical reconstruction operation with autologous half-bundle peroneus longus tendon and followed up with an average time of 16.21 ± 3.20 (range 12–24) months, with no loss of patients to follow-up during the study period. The American Orthopedic Foot, Ankle Society Score (AOFAS), Visual Analogue Score (VAS), and Anterior Tibiotalar Translation were used to assess the curative effect. All the indexes were compared between the preoperative and at the final follow-up to discover the related statistical differences. The AOFAS score improved significantly from an average preoperative score of 56.91 ± 3.79 to 94.12 ± 2.51 at the final followed-up (p < 0.001). Meanwhile, the pre-operation VAS pain score decreased from 5.94 ± 1.32 to 1.71 ± 0.87 (p < 0.001). Additionally, the Anterior tibiotalar translation decreased from 16.40 ± 1.85 to 5.20 ± 0.57 mm at the final followed-up (p < 0.001). The anterior drawer test was negative for all patients after the operation. Considering the outcomes, we concluded that anatomical reconstruction of the anterior talofibular ligament with autologous half-bundle peroneal longus tendon was a proper and safe procedure for chronic lateral ankle instability, and it had good clinical results and minimal complications.
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影响因子：
2.7
作者：
Behrens, Steve B.;Drakos, Mark;DiGiovanni, Christopher W.
通讯作者：
DiGiovanni, Christopher W.
影响因子：
4.8
作者：
COLVILLE, MR;MARDER, RA;ZARINS, B
通讯作者：
ZARINS, B
DOI：
10.1007/s00590-017-2116-4
发表时间：
2018-05-01
期刊：
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
影响因子：
--
作者：
Morvan, Antoine;Klouche, Shahnaz;Bauer, Thomas
通讯作者：
Bauer, Thomas
DOI：
10.2106/00004623-198870040-00015
发表时间：
1988-04-01
影响因子：
5.3
作者：
KARLSSON, J;BERGSTEN, T;PETERSON, L
通讯作者：
PETERSON, L
影响因子：
1.5
作者：
Ferran, Nicholas Antonio;Maffulli, Nicola
通讯作者：
Maffulli, Nicola