改良Karlsson术治疗踝关节外侧副韧带损伤伴慢性踝关节不稳症疗效分析  

The Curative Effect of Modified Karlsson Technique for Treating Ankle Instability Caused by Lateral Collateral Ligament Injury

作　　者：孙健[1] 蔡郑东[1] 朱裕昌[1] 孙业青[1] 

机构地区：[1]上海市第十人民医院骨科,上海200072

出　　处：《中国运动医学杂志》2014年第6期510-513,551,共5页Chinese Journal of Sports Medicine

摘　　要：目的:探讨治疗慢性踝关节外侧不稳的合理有效的手术方式。方法:2011年4月至2012年3月,对36例慢性踝关节外侧不稳患者,利用改良Karlsson术结合踝关节镜下清理,用MINI-G2铆钉直接缝合加固,解剖修复距腓前韧带及跟腓韧带。结果:所有患者术后随访12～21个月,平均(16.4±5)个月,踝关节无明显水肿,行走无疼痛,关节主动与被动活动良好,患足前抽屉试验及距骨倾斜试验阴性。术后距骨倾斜角较术前减少为平均(3.8±0.5)°(P<0.01),距骨前移较术前减少为平均(3.3±1.5)mm(P<0.05)。AOFAS评分术后与术前有显著性差异(P<0.01),术后优10例、良13例、一般11例、差2例,优良率达63.9%。患者对踝关节功能活动满意。结论:踝关节镜探查并解剖修复外侧副韧带是治疗慢性踝关节不稳的合理而又有效的方法。Objective To discuss a reasonable and effective surgical method for the treatment of chronic lateral ankle instability. Methods From April 2011 to March 2012,Modified Karlsson technique in combination with MINI-G2 and arthroscopic debridement was used for surgical treatment of 36 patients with chronic lateral ankle instability. Results The patients were followed up for an average of 16.4＋5 months （12-21 months）after surgery. Functional stability was achieved and range of motion was generally recovered without recurrent instability,in which10 joints were excellent and 13 joints were good （according to the AOFAS）. Conclusion Modified Karlsson technique is a reasonable and effective surgical method for the treatment of chronic lateral ankle instability.

关 键 词：慢性踝关节不稳 韧带修复 关节镜 

分 类 号：R687.3[医药卫生—骨科学]