[1]李琦,尚林,马富强,等.第三腓骨肌肌腱解剖重建距腓前韧带治疗陈旧性距腓前韧带损伤[J].中医正骨,2021,33(04):71-74.
　LI Qi,SHANG Lin,MA Fuqiang,et al.Anatomical reconstruction of anterior talofibular ligaments with peroneus tertius tendon for treatment of old anterior talofibular ligament injuries[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(04):71-74.
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第三腓骨肌肌腱解剖重建距腓前韧带治疗陈旧性距腓前韧带损伤()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年04期
页码:
71-74
栏目:
临床报道
出版日期:
2021-04-20

文章信息/Info

Title:
Anatomical reconstruction of anterior talofibular ligaments with peroneus tertius tendon for treatment of old anterior talofibular ligament injuries
作者:
李琦; 尚林; 马富强; 张小龙; 王亚磊; 孙士强; 贾光辉; 王翔宇
(郑州市骨科医院,河南 郑州 450052)
Author(s):
LI Qi; SHANG Lin; MA Fuqiang; ZHANG Xiaolong; WANG Yalei; SUN Shiqiang; JIA Guanghui; WANG Xiangyu
关键词:
踝损伤;  外侧韧带; 踝;  距腓前韧带;  第三腓骨肌;  移植; 自体
摘要:
目的:观察第三腓骨肌肌腱解剖重建距腓前韧带治疗陈旧性距腓前韧带损伤的临床疗效和安全性。方法:2016年5月至2019年7月,采用第三腓骨肌肌腱解剖重建距腓前韧带治疗陈旧性距腓前韧带损伤患者16例,男9例、女7例。年龄20～55岁,中位数36岁。体质量指数18.6～33.7 kg·m-2。所有患者半年内有2次以上的严重踝关节扭伤史,经正规非手术疗法治疗后无效,且行改良Brostr?-Gould修复术失败。X线检查均显示距骨前移>10 mm,距骨倾斜角>9°; MRI检查提示距腓前韧带伴或不伴跟腓韧带断裂,且第三腓骨肌存在。所有患者前抽屉试验和内翻应力试验均为阳性。踝关节初次扭伤至手术时间 12～24个月,中位数18个月。采用疼痛视觉模拟量表(visual analogue scale,VAS)评分评价踝关节疼痛情况,采用美国足与踝关节协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足功能评分和足踝功能测试(foot and ankle ability measure,FAAM)评分评价踝关节功能恢复情况,并随访观察并发症发生情况。结果:本组患者手术时间65～90 min,中位数70.5 min。切口均甲级愈合,前抽屉试验和内翻应力试验均为阴性。所有患者均获得随访,随访时间12～20个月,中位数18个月。踝关节疼痛VAS评分,术前(6.13±0.64)分、术后1年(1.33±0.74)分; AOFAS踝与后足功能评分,术前(52.47±7.37)分、术后1年(89.23±5.75)分,优11例、良5例; FAAM评分,术前(58.67±5.70)分、术后1年(90.13±6.60)分,优9例、良7例。均无感染、神经损伤等并发症发生。结论:采用第三腓骨肌肌腱解剖重建距腓前韧带治疗陈旧性距腓前韧带损伤,能缓解踝关节疼痛,促进踝关节功能恢复,且并发症少。

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备注/Memo

备注/Memo:
基金项目:河南省医学科技攻关计划项目(201503237)
通讯作者:王翔宇 E-mail:453616978@qq.com
更新日期/Last Update: 1900-01-01