■两种类型的缝合锚钉插入途径(前外侧门静脉和外侧附件门静脉)用于关节镜距腓前韧带(ATFL)修复。然而,尚不清楚哪一个是更好的选择。本研究旨在比较在进行关节镜下ATFL套圈修复治疗慢性踝关节外侧不稳定(CLAI)时,这两种缝线锚钉插入途径的临床结果。
■从2019年至2021年,回顾性分析接受关节镜下ATFL套圈修复的CLAI患者,并分为前外侧门脉(ALP)组和外侧附件门脉(LAP)组。1:1倾向得分匹配用于控制基于年龄的混杂因素,性别,身体质量指数,随访持续时间,术前视觉模拟量表(VAS)评分,和Tegner评分(ALP组,n=26;LAP组,n=26)。卡尔松得分,VAS评分,Tegner得分,操作时间,前抽屉测试结果,患者症状,和ATFL质量的磁共振(MR)评估用于描述结果。
■两组患者特征和随访时间相似。平均随访28.8±2.3个月,ALP组Karlsson评分明显较好,VAS评分,和Tegner评分比LAP组提高,症状较少。LAP组的7名患者仍有踝关节不稳的感觉,其中3人表现出脚踝松弛。
■在这项研究中,我们发现,在对CLAI患者进行关节镜下ATFL套索环修复时,与通过外侧附件门相比,通过前外侧门插入缝合锚钉的结局更好.疼痛缓解和功能的改善更大,并且与主观踝关节不稳定的频率降低有关。
UNASSIGNED: Two types of suture anchor insertion pathways (anterolateral portal vs lateral accessory portal) are used in arthroscopic anterior talofibular ligament (ATFL) repair. However, it is not clear which one is the better choice. This study aims to compare the clinical outcomes of these 2 suture anchor insertion pathways when performing arthroscopic ATFL lasso-loop repair for the treatment of chronic lateral ankle instability (CLAI).
UNASSIGNED: From 2019 to 2021, patients with CLAI who underwent arthroscopic ATFL lasso-loop repair were retrospectively reviewed and divided into the anterolateral portal (ALP) group and the lateral accessory portal (LAP) group. A 1:1 propensity score matching was used to control confounding factors based on age, sex, body mass index, follow-up duration, preoperative visual analog scale (VAS) score, and Tegner score (ALP group, n = 26; LAP group, n = 26). Karlsson score, VAS score, Tegner score, operation time, anterior drawer test results, patient symptoms, and magnetic resonance (MR) evaluation of ATFL quality were used to describe the outcomes.
UNASSIGNED: The patient characteristics and follow-up durations were similar between the 2 groups. After a mean follow-up duration of 28.8 ± 2.3 months, the ALP group had significantly better Karlsson score, VAS score, and Tegner score improvement than the LAP group, with fewer symptoms. Seven patients in the LAP group still had a feeling of ankle instability, and 3 of them exhibited ankle laxity.
UNASSIGNED: In this study, we found that inserting the suture anchor through the anterolateral portal was associated with better outcomes compared to that through the lateral accessory portal when performing arthroscopic ATFL lasso-loop repair for CLAI patients. The improvement was greater for pain relief and function and was associated with a lower frequency of subjective ankle instability.