Arthroscopically Assisted Technique for Combined Medial and Lateral Ligament Repair in Multidirectional Ankle Instability

IF 0.1 Q4 ORTHOPEDICS

Techniques in Foot and Ankle Surgery Pub Date : 2021-11-19 DOI:10.1097/BTF.0000000000000335

J. B. Gerstner, Octavio A. Méndez Lavergne, Fanny A.L. Blanco, Jochen Gerstner Saucedo, C. E. Ramirez Davila

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引用次数: 2

Abstract

An ankle sprain is one of the most common orthopedic injuries, frequently associated with sporting activities. Acute treatment has a traditional standard protocol, but even after undergoing a good rehabilitation program, up to 20% to 40% of patients develop chronic ankle instability. Arthroscopy is a rapidly evolving surgical procedure indicated for the management of this pathology as a diagnostic and therapeutic tool. The objective of this study was to describe an arthroscopically assisted technique for combined medial and lateral ligament repair in patients with multidirectional ankle instability. Clinical and functional results were described in 14 cases (8 female, 6 male) with a minimum 12-month follow-up. The average age was 35.8 years (range: 20 to 57 y), only 1 case of neuritis was reported and resolved without invasive procedures. At the final follow-up, 13 cases had good-excellent results with AOFAS (American Orthopedic Foot and Ankle Score) >80 points. We believe that the arthroscopic technique described is as a viable treatment option in patients with multidirectional ankle instability, with similar or better results than open techniques. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.

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关节镜辅助内侧韧带和外侧韧带联合修复踝关节多向不稳定

踝关节扭伤是最常见的骨科损伤之一，通常与体育活动有关。急性治疗有传统的标准方案，但即使经过良好的康复计划，高达20%至40%的患者仍会出现慢性踝关节不稳定。关节镜检查是一种快速发展的外科手术，用于治疗这种病理，是一种诊断和治疗工具。本研究的目的是描述一种关节镜辅助技术，用于多方向踝关节不稳定患者的联合内侧和外侧韧带修复。14例(8例女性，6例男性)的临床和功能结果进行了至少12个月的随访。平均年龄为35.8岁(范围:20 - 57岁)，仅有1例神经炎被报道，且无侵入性手术解决。最终随访13例，AOFAS (American orthopical Foot and Ankle Score，美国骨科足踝评分)bb80分，预后良好。我们相信所描述的关节镜技术是治疗多向踝关节不稳定患者的可行选择，其效果与开放式技术相似或更好。证据等级:诊断性v级。参见《作者指南》获得证据等级的完整描述。

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来源期刊

Techniques in Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

0.40

自引率

0.00%

发文量

期刊介绍： Techniques in Foot & Ankle Surgery offers a unique opportunity to master the most innovative and successful surgical techniques for correction of foot and ankle disorders. Featuring contributions from the world"s foremost orthopaedic surgeons and podiatrists, this quarterly journal supplies step-by-step details on these techniques. The contributors explain the rationale, indications, and contraindications for each procedure, identify the pitfalls and potential complications, and provide invaluable tips for improving results. The journal is illustrated cover to cover with intraoperative photographs and drawings, including several in full color.