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手术治疗慢性踝关节外侧不稳106例
引用本文:马骁,胡跃林. 手术治疗慢性踝关节外侧不稳106例[J]. 中华关节外科杂志(电子版), 2011, 5(1): 11-14. DOI: 10.3877/cma.j.issn.1674-134X.2011.01.004
作者姓名:马骁  胡跃林
作者单位:1. 解放军第253医院骨科
2. 北京大学第三医院运动医学研究所,100191
摘    要:目的探讨慢性踝关节外侧不稳继发病损及其有效的手术方法。方法 本组行手术解剖重建外踝韧带治疗慢性踝关节外侧不稳的患者106例,观察其继发病损在关节镜下的表现。结果 对本组患者随访12~111个月,平均31.2个月,术后所有踝关节均达到功能稳定,关节活动度基本恢复正常,没有复发性踝关节不稳发生。运用美国AOFAS足踝评分系统对患者手术前后踝关节功能进行评估,术前与术后AOFAS后足评分间的差异有统计学意义。结论 解剖重建距腓前韧带、跟腓韧带,有效地矫正了踝关节外侧不稳定和距下关节不稳定,是治疗踝关节慢性前外侧严重不稳定的合理而有效的治疗方法。

关 键 词:踝关节  关节不稳定性  韧带  重建  关节镜

Treatment for chronic anterolateral ankle instability in 106 patients with surgical method
MA Xiao,HU Yue-lin. Treatment for chronic anterolateral ankle instability in 106 patients with surgical method[J]. Chinese Journal of Joint Surgery(Electronic Version), 2011, 5(1): 11-14. DOI: 10.3877/cma.j.issn.1674-134X.2011.01.004
Authors:MA Xiao  HU Yue-lin
Affiliation:MA Xiao,HU Yue-lin.Institution of Sports Medicine,the Third Affiliated Hospital of Peking University,Beijing 100191,China
Abstract:Objective To discuss secondary lesion and effective surgical method for the treatment of chronic anterolateral ankle instability.Methods From 1997 to 2007,reconstruction was used in surgical treatment for chronic anterolateral ankle instability in 106 patients,and secondary lesion was observed by arthroscopy.Results Postoperative follow-up time was from 12 to 111 months,with an average of 30.2 months.Functional stability was achieved and range of motion generally recovered without recurrent instability.The ...
Keywords:Ankle joint  Joint instability  Ligament  Reconstruction  Arthroscopes  
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