Study on efficacy of arthroscopic simple repair technique and enhanced repair technique in treating chronic ankle instability
10.3969/j.issn.1671-8348.2024.12.005
- VernacularTitle:关节镜下单纯修复技术与增强修复技术治疗慢性踝关节外侧不稳的疗效研究
- Author:
Bao LI
1
,
2
;
Xinqi LIN
;
Haokun LI
;
Zhiqiang ZHANG
;
Sitong LI
;
Bowen FANG
;
Fangfang WU
;
Xinwei LIU
Author Information
1. 中国人民解放军北部战区总医院骨科,沈阳 110016
2. 中国医科大学研究生院,沈阳 110013
- Keywords:
arthroscopy;
ankle joint;
ankle ankle instability;
anterior talofibular ligament
- From:
Chongqing Medicine
2024;53(12):1784-1788,1792
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy of arthroscopic simple repair technique and en-hanced repair technique in the treatment of chronic lateral ankle instability(CLAI).Methods Forty-one cases of CLAI treated in the General Hospital of Northern Theater Command of PLA from January 2018 to January 2019 were selected and conducted arthroscopic lateral ankle ligament repair or enhanced repair treatment.The follow up data in 39 cases were complete.Among them,18 cases conducted the anterior talofibular ligament repair with wire anchor under arthroscopy and were included in the repair group,while 21 cases conducted the arthroscopic enhanced repair with linear anchors and knots free anchors and were included in the enhanced re-pair group.The postoperative follow up lasted for 12 months.The VAS score and AOFAS ankle-hind foot score before operation and in postoperative,3,6,12 months were compared between the two groups.The effi-cacies of treating CLAI by the two operation modes were evaluated.Results The preoperative VAS score and AOFAS ankle-hind foot score had no statistical differences between the two groups(P＞0.05).The VAS score at postoperative time points had no statistical difference between the enhanced repair group and repair group(P＞0.05).The AOFAS ankle-hind foot score in the enhanced repair group was higher than that in the repair group,and the difference was statistically significant(P＜0.05).No serious complications occurred in the grouped patients during the follow up period.Conclusion In terms of pain and ankle function,the effect of arthroscopic enhanced repair in treating CLAI is better than that of simple repair.
