带线锚钉在11例慢性踝关节外侧不稳韧带重建中应用.docVIP

带线锚钉在11例慢性踝关节外侧不稳韧带重建中应用 　　[摘要] 目的 探讨带线锚钉在慢性踝关节外侧不稳治疗中的应用价值。 方法 选取2009年1月~2013年12月收治的慢性踝关节外侧不稳定患者11例，男7例，女4例；平均年龄（24.8±6.5）岁；均实施带线锚钉手术解剖重建外侧韧带，术后随访3~12个月，采用改良美国足踝骨科协会（AOFAS）足踝评分评价踝关节功能。结果 改良AOFAS足踝评分优6例，良3例，可1例，差1例，优良率为81.82%。术后3个月改良AOFAS足踝评分均高于术前（P0.05或P0.01）；术后距骨倾斜角度、距骨移位距离、踝关节内侧间隙均小于术前（P0.01）。结论 带线锚钉解剖重建踝关节外侧韧带能恢复韧带稳定性，踝关节功能恢复良好，值得临床推广适用。 　　[关键词] 慢性踝关节外侧不稳定；带线锚钉；韧带；重建 　　[中图分类号] R687.4[文献标识码] B[文章编号] 1673-9701（2014）18-0014-03 　　 　　With wire anchors application in the ligament reconstruction of 11 patients with chronic lateral ankle instability 　　WANG Bo WU Yajuan HOU Yong 　　Huainan Xinhua Yiliaojituan Xinhua Hospital of Huainan in Anhui Province，Huainan 232052，China 　　[Abstract] Objective To investigate the value of with wire anchors in the treatment of cable anchors with chronic lateral ankle instability. Methods Selected 11 patients with chronic lateral ankle instability from January 2009 to December 2012，7 males and 4 females，average age were（24.8±6.5） years，all implemented with wire anchors surgery to anatomical reconstruction lateral ligaments，follow-up of 3 to 12 months postoperative，used a modified American Orthopaedic Foot and Ankle Society（AOFAS） scale to evaluate ankle function. Results Modified AOFAS ankle score excellent in 6 cases，good in 3 cases， fine in 1 case， poor in 1 case，good rate was 81.82%.AOFAS ankle scores were higher than preoperative after 3 months（P0.05 or P0.01）; postoperative talar tilt angle，talar shift distance，ankle medial joint space was less than before（P0.01）. Conclusion With wire anchors application in the anatomical reconstruction of lateral ankle ligaments，the ligaments can restore the stability of the ankle， joint function recovered well， worthy of promotion apply. 　　[Key words] Chronic lateral ankle instability; Belt line anchors; Ligament; Reconstruction 　　 踝关节是人体负重及运动的重要关节，也是运动中最容易扭伤的关节，常伴有外侧副韧带损伤。当前临床普遍认为，对于慢性踝关节外侧不稳的患者，一经确诊即应尽早实施手术治疗，以重建外侧韧带[1]。带线锚钉是近年研发的软组织连接技术，其通过缝线将分离的软组织固定在骨组织中，重建软组织及局部关节功能。因带线锚钉具有创伤小、刺激少、