全关节镜下胫腓前韧带最远束转位增强修复距腓前韧带的可行性  

Feasibility of full arthroscopic anterior tibiofibular ligament′s distal fascicle transposition agumentation repairing anterior talofibular ligament

作　　者：李博伟 肖磊 郑小飞 李劼若[1] 王华军[1] 侯辉歌[1] 查振刚[1] LI Bo-wei;XIAO Lei;ZHENG Xiao-fei;LI Jie-ruo;WANG Hua-jun;HOU Hui-ge;ZHA Zhen-gang(Bone Joint and Sports Medical Center,the First Affiliated Hospital of Jinan University,Guangzhou,Guangdong 510630,China)

机构地区：[1]暨南大学附属第一医院骨关节与运动医学中心,广东广州510630 [2]暨南大学附属第一医院急诊科,广东广州510630

出　　处：《临床骨科杂志》2022年第5期750-753,共4页Journal of Clinical Orthopaedics

基　　金：中国博士后科学基金特别资助项目(编号:2022TQ0121);广东省自然科学发展基金(编号:2017A030313556)。

摘　　要：目的探讨全关节镜下胫腓前韧带最远束(ATiFL-DF)转位增强修复距腓前韧带(ATFL)的可行性。方法采用随机数字表法将12具新鲜冷冻男性尸体下肢标本分为正常组(不离断ATiFL-DF,6例)和缺损组(离断ATiFL-DF,6例)。通过内旋实验比较两组的失效扭矩和失效角度。结果失效扭矩:正常组、缺损组分别为8.152~13.725(11.22±1.96)、7.848~14.031(10.93±2.16)N·m,两组比较差异无统计学意义(t=0.243,P=0.813)。失效角度:正常组、缺损组分别为27.5°~38.6°(33.85°±4.21°)、28.3°~41.7°(34.80°±4.71°),两组比较差异无统计学意义(t=0.365,P=0.723)。结论离断ATiFL-DF并不会对踝关节稳定性造成明显影响,说明全关节镜下ATiFL-DF转位增强修复ATFL是可行的。Objective To explore the feasibility of full arthroscopic anterior tibiofibular ligament′s distal fascicle(ATiFL-DF)transposition agumentation repairing anterior talofibular ligament(ATFL).Methods Twelve fresh frozen adult cadaver ankle specimens were used.The specimens were randomly divided into normal group(without amputated ATiFL-DF,6 cases)and the defect group(amputated ATiFL-DF,6 cases)by random number table method.The failure torque and the failure angle of the two groups were compared through the internal rotation experiment.Results The failure torque:the normal group and the defect group were 8.152~13.725(11.22±1.96),7.848~14.031(10.93±2.16)N·m,respectively,with no statistical difference(t=0.243,P=0.813).The failure angle:the normal group and the defect group were 27.5°~38.6°(33.85°±4.21°)and 28.3°~41.7°(34.80°±4.71°),respectively,there was no statistical difference(t=0.365,P=0.723).Conclusions The amputated ATiFL-DF do not significantly affect the stability of the ankle joint,which indicate that it is feasible to enhance the repair of ATFL by transposition of ATiFL-DF under full arthroscopy.

关 键 词：踝关节镜 距腓前韧带损伤 生物力学 胫腓前韧带最远束转位增强修复术 

分 类 号：R686.5[医药卫生—骨科学] R687.4[医药卫生—外科学] R687.2[医药卫生—临床医学]