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目的探讨采用同种异体肌腱重建踝关节外侧韧带微创治疗慢性踝关节不稳的疗效。方法回顾性分析自2010-08—2013-07采用同种异体肌腱重建踝关节外侧韧带微创治疗经非手术治疗效果不佳的慢性踝关节不稳10例(12足)。结果本组均获得随访8~26个月,平均12个月。术前AOFAS评分平均70(60~75)分;术后AOFAS评分平均95(90~98)分,优9足,良1足,可2足。结论采用同种异体肌腱重建距腓前韧带,固定方法既简单又牢固,而且肌腱两端均在骨隧道内,有足够大的腱-骨接触面及强度,完全能满足术后踝关节运动稳定的需要。
Objective To investigate the curative effect of allogeneic tendon reconstruction of the ankle ligament minimally invasive treatment of chronic ankle instability. Methods Retrospective analysis of 10 cases (12 feet) of non-surgical treatment of chronic ankle instability with allogeneic tendon reconstruction from August 2010 to August 2013. Results The group were followed up for 8 to 26 months, an average of 12 months. Preoperative AOFAS score average 70 (60 ~ 75) points; AOFAS score after surgery on average 95 (90 ~ 98) points, excellent 9 feet, good 1 foot, 2 feet. Conclusion Allograft tendon reconstruction of the anterior talofibular ligament, the fixation method is simple and firm, and both ends of the tendon in the bone tunnel with a large enough tendon - bone contact surface and strength, fully able to meet the postoperative ankle movement stability Need.