关节镜下距腓前韧带修复的研究进展
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1.湖北中医药大学;2.广东佛山中医院足踝外科;3.解放军中部战区总医院骨科

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Arthroscopic Repair technique of Anterior talofibular ligament
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1.HUBEI UNIVERSITY OF CHINESE MEDICINE;2.3. Department of Foot and Ankle, Foshan Hospital of Traditional Chinese Medicine.;3.2. Department of Orthopaedics, General Hospital of Central Theater Command,

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    摘要:

    踝关节外侧副韧带尤其是踝关节距腓前韧带(Anterior talofibular ligament,ATFL)损伤是常见的运动损伤,多数患者保守治疗有限,约有20-40%的患者发展为慢性踝关节外侧不稳定(Chronic lateral ankle instability, CLAI)。经典的Brostr?m-Gloud手术是韧带修复的“金标准”。近年来,随着踝关节镜技术的发展,关节镜下ATFL修复的微创技术成为发展热点,尽管对镜下修复的可靠性以及神经损伤并发症等问题存在争议,但越来越多的研究证实镜下修复可以获得开放修复类似的结果,且术后恢复更快。

    Abstract:

    The lateral collateral ligament of the ankle injury, especially the anterior talofibular ligament (ATFL) injury, is a common sports injury. Most patients are successfully treated with conservative treatment. However, chronic lateral ankle instability (CLAI) occurs in approximately 20-40% of cases. The classic Brostr?m-Gloud procedure is the "gold standard" for ATFL repair. In recent, the arthroscopic ATFL repair technique has become a hotspot. Although the reliability of arthroscopic repair technique and its nerve injury complication are still controversial, more and more studies confirm that the similar results can be obtained with either arthroscopic repair or open repair technique, but faster recovery after arthroscopic surgery.

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  • 收稿日期:2020-03-30
  • 最后修改日期:2020-04-21
  • 录用日期:2020-05-28
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