小切口Internal brace人工韧带联合Brostr?m改良术修复距腓前韧带损伤的疗效观察  

Clinical observation of the modified Broström procedure augmented with suture-tape repair of anterior talofibular ligament injury using mini-open incision

作　　者：孙若宾[1] 尚林[2] 许少刚[1] SUN Ruobin;SHANG Lin;XU Shaogang(Department of Emergency,Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China;Department of Foot and Ankle Surgery,Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院急诊科,450052 [2]郑州市骨科医院足踝外科,450052

出　　处：《天津医药》2023年第4期432-435,共4页Tianjin Medical Journal

摘　　要：目的 探讨小切口Internal brace人工韧带联合Brostr?m改良术修复距腓前韧带损伤的手术疗效。方法 17例慢性踝关节外侧不稳患者采取小切口Internal brace人工韧带联合Brostr?m改良术修复距腓前韧带损伤,其中男11例,女6例,年龄28~56岁,平均(40.20±13.75)岁,体质量指数(BMI)30.12~35.10 kg/m^(2),平均(32.27±1.83)kg/m^(2)。比较手术前后足踝结局评分(FAOS)和足踝功能测试(FAAM)评分,评估手术疗效。结果 所有患者手术切口一期愈合,未出现神经、血管、肌腱损伤等并发症。17例患者获得12~24个月完全随访。FAOS评分由术前(57.10±11.32)分提高到(91.35±1.27)分(P<0.05),FAAM评分由术前(55.76±10.12)分提高到(91.10±0.69)分(P<0.05)。有2例在早期行走时感觉踝关节外侧有紧绷感,8周后症状消除。结论 小切口Internal brace人工韧带联合Brostr?m改良术修复距腓前韧带损伤可以有效减轻患者症状,提高踝关节功能。Objective To explore the surgical treatment of the modified Broström procedure augmented with suturetape repair of anterior talofibular ligament using mini-open incision.Methods A tatal of 17 patients with chronic lateral ankle instability underwent the modified Broström procedure augmented with suture-tape reconstruction of anterior talofibular ligament using mini-open incision.The patients included 11 males and 6 females,aged 28-56 years with a mean of(40.20±13.75)years.Body mass index(BMI)was 30.12-35.10 kg/m^(2) with a mean of(32.27±1.83)kg/m^(2).The FAOS and FAAM were used to evaluate the postoperative function of ankle.Results All patients had operation performed smoothly,without serious complications,and got incisions healed well.All 17 patients were followed up for 12-24 months.Compared with those preoperative,the FAOS(from 57.10±11.32 to 91.35±1.27,P<0.05)and FAAM(from 55.76±10.12 to 91.10±0.69,P<0.05)scores significantly improved at the latest follow-up and no complications,such as nerve,blood vessel and tendon injury.Two patients experienced tightness in the lateral ankle during early walking,and the symptoms were resolved after 8 weeks.Conclusion For the chronic lateral ankle instability,the modified Broström procedure augmented with suture-tape repair of anterior talofibular ligament using mini-open incision effectively reduces symptoms and get early rehabilitation,with definite effect.

关 键 词：踝关节 距腓前韧带损伤 Brostr?m改良术 人工韧带 

分 类 号：R684.77[医药卫生—骨科学]