METHODS: Twenty-eight consecutive patients, who were diagnosed with CLAI, presenting with ≥ 1 risk factor (ligamentous hyperlaxity, insufficient substance of native ligament and/or high-demand athlete), who underwent ankle ligament reconstruction with a tendon autograft between January 2011 and December 2018, were included in this retrospective study. At 63.7 ± 28.0 months (24-112), 23 patients with a mean age of 29.7 ± 10.9 years were available for follow-up. The Karlsson Score, the Foot and Ankle Outcome Score (FAOS), the Tegner Activity Scale and the visual analog scale (VAS) for pain were collected at a minimum follow-up of 24 months. RTS and RTW were evaluated by questionnaire. A subgroup analysis with regard to the graft used for ankle ligament reconstruction (GT versus PBT) was performed.
RESULTS: Patients reported a Karlsson score of 82.1 ± 17.5 (37-100), a FAOS score of 87.8 ± 8.4 (73-99), a median Tegner activity scale of 5.0 (IQR 4-6) and a VAS for pain of 0.5 ± 0.9 (0-4) at rest and of 2.0 ± 2.1 (0-7) during activities at final follow-up. Postoperatively, 96% of patients had returned to sports after 8.3 ± 6.2 months. All patients (100%) had returned to work at 3.5 ± 5.7 (0-24) months, with 87% reporting an equal or improved working ability compared to that preoperatively. Postoperatively, exercise hours per week were significantly reduced compared to preoperatively in patients with a split PBT (n = 12; 13.0 ± 12.9 to 5.6 ± 6.4 h, p = 0.038) autograft as opposed to patients with a GT autograft (n = 11; 13.1 ± 8.7 to 12.4 ± 7.1 h, n.s.). No other group differences were observed.
CONCLUSIONS: Good patient-reported outcomes as well as excellent RTS and RTW rates can be achieved in high-risk patients undergoing ankle ligament reconstruction with a tendon autograft for CLAI. These results may be helpful in preoperatively managing patients\' expectations regarding sports- and work-related outcomes and provide tangible data on the expectable time frame of the individual return to sports and work trajectory.
METHODS: IV.
方法:28名连续患者,他们被诊断出患有CLAI,存在≥1个危险因素(韧带过度松弛,天然韧带和/或高需求运动员的物质不足),2011年1月至2018年12月接受自体肌腱移植踝关节韧带重建的患者纳入本回顾性研究.63.7±28.0个月(24-112),23名平均年龄29.7±10.9岁的患者可进行随访。卡尔松得分,脚和脚踝结果评分(FAOS),在最少24个月的随访时间内收集Tegner活动量表和疼痛视觉模拟量表(VAS).通过问卷调查对RTS和RTW进行评估。对用于踝关节韧带重建的移植物(GT与PBT)进行了亚组分析。
结果:患者报告Karlsson评分为82.1±17.5(37-100),FAOS得分为87.8±8.4(73-99),Tegner活动量表中位数为5.0(IQR4-6),静息时疼痛的VAS为0.5±0.9(0-4),最终随访时活动时疼痛的VAS为2.0±2.1(0-7)。术后,在8.3±6.2个月后,96%的患者恢复了运动。所有患者(100%)在3.5±5.7(0-24)个月恢复工作,与术前相比,87%的人报告工作能力相等或提高。术后,与PBT分裂患者的术前相比,每周运动小时数显着减少(n=12;13.0±12.9至5.6±6.4h,p=0.038)自体移植物,而不是GT自体移植物的患者(n=11;13.1±8.7至12.4±7.1h,n.s.)。没有观察到其他组的差异。
结论:在接受自体肌腱移植进行CLAI的踝关节韧带重建的高风险患者中,可以获得良好的患者报告结果以及良好的RTS和RTW率。这些结果可能有助于术前管理患者对运动和工作相关结果的期望,并提供有关个人返回运动和工作轨迹的预期时间框架的切实数据。
方法:IV.