Colville手术治疗慢性踝关节外侧不稳.pdfVIP

Colville手术治疗慢性踝关节外侧不稳 沙勇 丁晶 徐永清 李军 李春晓 师继红 【摘要】 目的探讨应用Colville手术治疗踝关节慢性外侧不稳定的疗效。 方法 自1999～2004年, 应用Colville术式, 以腓骨短肌腱前半部分重建距腓前韧 带和跟腓韧带,治疗34例踝关节慢性前外侧不稳患者。结果 术后随诊时间平均1.3 年，术后所有踝关节均达到功能稳定, 关节活动度基本恢复正常, 没有复发性踝 关节不稳发生。结论 Colville术式重建了距腓前韧带和跟腓韧带，有效地矫正了 踝关节外侧不稳定, 是治疗慢性踝关节外侧不稳定的有效方法。 【关键词】 踝关节； 慢性不稳定； 韧带重建术 Reconstruction of lateral ankle ligaments (Colville ’s technique) for chronic lateral instability of the ankle SHA Yong, DING Jin, XU Yong-qing, LI Jun, LI Chun-xiao, SHI ji-hong Department of Orthopaedics, Kunming General Hospital of PLA, Kunming 650032 Abstract Objective: To evaluate the results of Reconstruction of lateral ankle ligaments (Colville technique) for chronic lateral instability of the ankle. Method: From 1999 to 2004, Colville technique was used for surgical treatment of chronic lateral ankle instability in 34 ankle joints, in which the anterior Talofibular and calcaniofibular ligaments were reconstructed using anterior half of peroneus brevis tendon. Result: Postoperative follow up was 19 months in average. Functional stability was achieved and range of motion was generally recovered without recurrent instability. Conclusion: With Colville technique, anterior talofibular and calcaniofibular ligaments can all be reconstructed, so that lateral structures of ankle can be stabilized effectively. It is a reasonable and effective surgical method for the treatment of chronic lateral ankle instability. Key words Ankle joint; Chronic instability; L igament reconstruction 以内翻应力导致外踝扭伤是一种常见的外伤 ，而大约10% ～15%的损伤导 致距腓前韧带和跟腓韧带断裂 [1] 。然而经过治疗后，仍然有部分病人出现慢性 [2] 踝关节外侧不稳，需要外科手术的治疗 。目前手术的方法有韧带的直接修复和 ， ， 利用肌腱的重建等[3 4 5] ，作者应用Colville术式重建踝关节外侧韧带, 治疗踝关 节慢性外侧不稳，取得了良好的疗效。