带线锚钉在11例慢性踝关节外侧不稳韧带重建中的应用  

With wire anchors application in the ligament reconstruction of 11 patients with chronic lateral ankle instability

作　　者：王波[1] 武亚娟[1] 侯勇[1] 

机构地区：[1]安徽省淮南新华医疗集团新华医院,安徽淮南232052

出　　处：《中国现代医生》2014年第18期14-16,19,共4页China Modern Doctor

摘　　要：目的：探讨带线锚钉在慢性踝关节外侧不稳治疗中的应用价值。方法选取2009年1月-2013年12月收治的慢性踝关节外侧不稳定患者11例，男7例，女4例；平均年龄（24.8±6.5）岁；均实施带线锚钉手术解剖重建外侧韧带，术后随访3-12个月，采用改良美国足踝骨科协会（AOFAS）足踝评分评价踝关节功能。结果改良AOFAS足踝评分优6例，良3例，可1例，差1例，优良率为81.82%。术后3个月改良AOFAS足踝评分均高于术前（P〈0.05或P〈0.01）；术后距骨倾斜角度、距骨移位距离、踝关节内侧间隙均小于术前（P〈0.01）。结论带线锚钉解剖重建踝关节外侧韧带能恢复韧带稳定性，踝关节功能恢复良好，值得临床推广适用。Objective To investigate the value of with wire anchors in the treatment of cable anchors with chronic lat-eral ankle instability. Methods Selected 11 patients with chronic lateral ankle instability from January 2009 to Decem-ber 2012,7 males and 4 females,average age were（24.8±6.5） years,all implemented with wire anchors surgery to anatomi-cal reconstruction lateral ligaments,follow-up of 3 to 12 months postoperative,used a modified American Orthopaedic Foot and Ankle Society（AOFAS） scale to evaluate ankle function. Results Modified AOFAS ankle score excellent in 6 cases,good in 3 cases, fine in 1 case, poor in 1 case,good rate was 81.82%.AOFAS ankle scores were higher than preoperative after 3 months （P〈0.05 or P〈0.01）; postoperative talar tilt angle,talar shift distance,ankle medial joint space was less than before（P〈0.01）. Conclusion With wire anchors application in the anatomical reconstruction of lat-eral ankle ligaments,the ligaments can restore the stability of the ankle, joint function recovered well, worthy of pro-motion apply.

关 键 词：慢性踝关节外侧不稳定 带线锚钉 韧带 重建 

分 类 号：R687.4[医药卫生—骨科学]