Abstract:
Lateral ankle instability is one of the most common and well-recognized conditions presenting to foot and ankle surgeons. It may exist as an isolated entity or in conjunction with other concomitant pathology, making it important to appropriately diagnose and identify other conditions that may need to be addressed as part of treatment. These associated conditions may be a source of chronic pain, even when the instability has been appropriately treated, or may lead to failure of treatment by predisposing the patient to ankle inversion injuries. The primary goal of this editorial is to provide a brief summary of the common techniques used in the delayed reconstruction of lateral ankle ligamentous injuries and present a method we have successfully employed for over 15 years. We will also briefly discuss the diagnosis and treatment of the more common associated conditions, which are important to identify to achieve satisfactory results for the patient. We present the outcomes of 250 consecutive reconstructions performed over the last 10 years and describe our operative technique for addressing lateral ankle ligamentous injuries.
摘要:
外侧踝关节不稳定是足踝外科医生最常见和公认的疾病之一。它可能作为一个孤立的实体存在,或与其他伴随的病理结合,这使得适当诊断和确定可能需要作为治疗一部分的其他疾病变得很重要。这些相关疾病可能是慢性疼痛的根源,即使不稳定得到了适当的治疗,或可能导致患者踝关节内翻损伤而导致治疗失败。这篇社论的主要目的是简要总结踝关节外侧韧带损伤延迟重建中使用的常用技术,并介绍一种我们成功使用了15年以上的方法。我们还将简要讨论更常见的相关疾病的诊断和治疗,这对于识别以获得患者满意的结果很重要。我们介绍了过去10年中进行的250次连续重建的结果,并描述了我们解决踝关节外侧韧带损伤的手术技术。