摘要
目的:分析腓骨短肌肌腱动力重建训练伤后踝关节外侧慢性不稳的手术治疗效果。方法:训练伤后踝关节外侧慢性不稳患者住院时间为2019年1月~2020年1月,实验患者共计68例,抛硬币法确定对照组、实验组,每组均为34例,均实施腓骨短肌肌腱动力重建治疗,对照组使用外侧结构重建术,实验组则使用带线锚钉结合改良距腓前韧带修复术,对比两组疗效、踝关节恢复质量以及并发症率。结果:实验组治疗有效率为94.12%显著低于对照组76.47%,实验组踝关节各指标均优于对照组,实验组并发症率为2.94%显著低于对照组17.65%。结论:训练伤后踝关节外侧慢性不稳进行腓骨短肌肌腱动力重建治疗中使用线锚钉结合改良距腓前韧带修复术,与传统重建修复对比可促进恢复,提升踝关节各项功能,同时可以控制术后的各项并发症。
Objective To analyze the surgical treatment of chronic instability of the lateral ankle joint after the training injury of the dynamic reconstruction of the peroneal brevis tendon.Methods The hospitalization period of patients with chronic instability of the lateral ankle joint after training injury is from January 2019 to January 2020.There are 68 experimental patients in total.The coin toss method determines the control group and the experimental group.Each group has 34 cases,all of which are implemented In the treatment of dynamic reconstruction of the peroneus brevis tendon,the control group used lateral structural reconstruction,and the experimental group used wire anchors combined with modified anterior talofibular ligament repair.The efficacy,the quality of ankle joint recovery and the complication rate of the two groups were compared.Results The effective rate of treatment in the experimental group was 94.12%,which was significantly lower than that of the control group,which was 76.47%.The ankle joint indexes of the experimental group were better than those of the control group.The complication rate of the experimental group was 2.94%significantly lower than that of the control group.Statistical significance.Conclusion In the treatment of chronic instability of the lateral ankle joint after training injury,the use of wire anchors combined with modified anterior talofibular ligament repair in the treatment of dynamic reconstruction of the peroneus brevis tendon can promote recovery and improve various functions of the ankle joint compared with traditional reconstruction and repair.It can control various postoperative complications.
作者
朱立新
徐高兵
蔡巍
彭磊
欧阳超
卢吉平
Zhu Li-xin;Xu Gao-bing;Cai Wei;Peng Lei;Ouyang Chao;Lu Ji-ping(The 921th Hospital of PLA Joint Logistics Support Force/Second Affiliated Hospital of Hunan Normal University,Changsha 410003,China)
出处
《湖南师范大学学报（医学版）》
2021年第6期107-109,共3页
Journal of Hunan Normal University(Medical Sciences)
关键词
腓骨短肌肌腱
动力重建
训练伤
踝关节外侧慢性不稳
peroneal brevis tendon
dynamic reconstruction
training injury
chronic instability of the lateral ankle joint
作者简介
通讯作者:卢吉平,E-mail:lujipingbj@aliyun.com
