Reconstruction for Chronic Lateral Instability of the Ankle by Chen Method / 대한족부족관절학회지
Journal of Korean Foot and Ankle Society
;
: 53-57, 2010.
Artigo
em Coreano
| WPRIM
| ID: wpr-162579
ABSTRACT
PURPOSE:
This study was designed to evaluate the clinical and radiographical results of anatomical reconstruction by Chen method for chronic lateral ankle instability. MATERIALS ANDMETHODS:
Fifteen patients with chronic lateral ankle instability who had undergone anatomical reconstruction of anterior talofibular and calcaneofibular ligaments by Chen method were evaluated retrospectively. Average age of the patients was 31.3 years, and average follow-up period was 15.5 months. Preoperative and postoperative radiographs including varus stress view and magnetic resonance imaging (MRI) were analyzed. The clinical evaluation was performed according to the American Orthopaedic Foot and Ankle Society (AOFAS) scale.RESULTS:
Radiographically average talar tilt angle was 15.3degrees preoperatively, and the difference with contralateral normal side was 10.1degrees. At last follow up, talar tile angle and the difference with contralateral side improved to 5.9degrees and 1.3degrees respectively. AOFAS scale was 66.6 preoperatively and 87.3 postoperatively. In MRI findings, four patients had associated intra-articular lesion such as articular cartilage defect, synovitis and osteoarthritis. The talar tilt angle improvement and AOFAS scale of patients without intra-articular lesion was better than those of four patients with intra-articular lesions. Surgical wound pain occurred in six patients and sural neuropathy in three patients.CONCLUSION:
The anatomical reconstruction by Chen method was an easy and effective procedure for symptomatic chronic lateral ankle instability. Careful operative technique may prevent the surgical wound pain and sural neuropathy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Compostos Orgânicos
/
Osteoartrite
/
Sinovite
/
Imageamento por Ressonância Magnética
/
Cartilagem Articular
/
Estudos Retrospectivos
/
Seguimentos
/
Pé
/
Ligamentos
/
Tornozelo
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Animais
/
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Foot and Ankle Society
Ano de publicação:
2010
Tipo de documento:
Artigo
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