Application of arthroscopic anterior tibiofibular ligament and calcaneofibular ligament reconstruction in patients with lateral ankle instability
Objective To assess the clinical outcomes of arthroscopic reconstruction for anterior talofibular and calcaneofibular ligaments in managing lateral ankle instability.Methods A total of 102 patients with lateral ankle instability were selected as the re-search subjects.They were divided into two groups(n=51).The control group underwent the Brostrom procedure for lateral ankle liga-ment reconstruction,while the observation group received arthroscopy-assisted anterior talofibular and calcaneofibular ligament recon-struction.Perioperative indicators were compared between the two groups.The pain situation before surgery and after surgery was assessed using the VAS.The ankle function and range of motion of the ankle joint were compared before and 12 months after surgery,and the 45° stellate extension balance test(SEBT)was performed in anteriorly,posteriorly and posterolaterally.Postoperative adverse reactions(infection,nerve damage,joint stiffness)were also recorded.Results The operation time of the observation group was longer,but the postoperative recovery time and postoperative VAS score were lower than those of the control group.The postoperative talar inclination an-gle and talar anterior displacement distance of the observation group were lower than those of the control group.The ankle function,plan-tar flexion angle,dorsiflexion angle,and SEBT of the observation group were all improved compared with those of the control group.Conclusion Reconstruction of anterior talofibular and calcaneofibular ligaments via arthroscopy can bolster treatment results for those with lateral ankle instability,augmenting joint flexibility.
万方数据
维普
