【摘要】 目的探讨慢性外踝不稳采用半股腓骨短肌腱重建的早期临床疗效。方法分析自2013年7月至2014年8月采用半股腓骨短肌腱解剖重建治疗25例慢性外踝不稳的临床资料,男13例,女12例;年龄25~54岁,平均(30.5±6.9)岁。术前均摄MRI检查且前抽屉试验阳性,确认距腓前韧带和跟腓韧带断裂或松弛。末次随访时采用踝关节评分。未出现术中骨折、切口感染、皮肤坏死及神经损伤等并发症。karlsson评分和美国足踝外科协会(American orthopaedic foot and ankle society,AOFAS)评分系统进行评价。结果术后切口均一期愈合,25例均获得随访13~29个月,平均(19.5±3.7)个月。Karlsson评分和AOFAS评分较术前均明显升高,踝关节功能明显改善。结论半股腓骨短肌腱解剖重建距腓前韧带具有创伤小、操作简单、踝关节功能恢复满意等优点。更多还原

【Abstract】 Objective To investigate early clinic effect of chronic lateral ankle instability with Semi-peroneus brevis anatomic reconstruction.Methods From July 2013 to August 2014 25 patients with chronic lateral instability of ankle were reviewed.There were 13 males and 12 females with an average age of 30.5 years(25 to 54 years).Karlsson scores and AOFAS scores system were used to evaluate clinic effect in last follow-up.Results All the patients had successful surgery of anterior tibal fibular ligament reconstruction.There was no infection.All the patient were followed up.The duration ranged from 13 to 29 months,with an average of(19.5±3.7)months.All the patients went back to former work.Karlsson scores and AOFAS scores improve significantlycompared with those beforesurgery.Conclusion Anterior tibal fibular ligament rescontrucion with semi-peroneus brevis can effectively treat chronic lateral instabiltywith advantage of mini-trauma,easy-procedure,satisfactory-ankle function.更多还原