踝关节损伤后不稳定的手术重建

目的 探讨踝关节外侧副韧带损伤后不稳定的修复重建方法。方法 对1992年1月～2000年6月收治7例年龄25～43岁的男性患者采用改良的Wetson—Jones法进行重建，分别经外踝尖端上方2．5cm及距骨上钻一隧道，取腓骨短肌腱通过隧道缠绕固定。受伤至手术时间6～24个月。结果 术后随访2～10年，5例井下工人患者改换为地面工作；另两例均恢复了原工作，其中1例外踝处略显粗大，无创伤性关节炎发生。按Baird踝关节评分系统标准，7例术后功能评价均优。结论 采用改良的Wetson—Jones法能较好地修复重建损伤后踝关节的稳定性。

REPAIR AND RECONSTRUCTION OF POST-TRAUMATIC INSTABILITY OF THE ANKLE

Objective To investigate the reparative and reconstructive method of post-traumatic lateral instability of the ankle. Methods From January 1992 to June 2000, 7 cases of male patients with ankle injury (aged 25-43 years) underwent Wetson-Jones modification. A bone tunnel was drilled through 2.5 cm upside the lateral malleolus tip and talus, and short peroneal tendon was cut to pass the tunnel to fix twining. Results All patients were followed up 2-10 years, 5 cases mineworkers changed to work on the ground, 2 patients returned to the original work, no traumatic arthritis occurred.According to Baird ankle joint scoring standard, the ankle function was excellent in all cases. Conclusion Reformed Wetson-Jones modification can repair and reconstruct perfectly the traumatic instability of the ankle.