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首页> 外文期刊>Journal of athletic training >Surgical Management of Lateral Ankle Instability in Athletes
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Surgical Management of Lateral Ankle Instability in Athletes

机译：运动员外侧踝不稳的外科处理

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Ankle sprains are common injuries involving the lateral ankle ligaments and affect athletes of all levels. Most patients heal uneventfully, but those with symptoms persisting past 3 months should be evaluated for chronic ankle instability and its associated conditions as well as for the presence of varus malalignment. Chronic ankle instability is initially treated nonoperatively, with surgical management reserved for those who have failed to improve after 3 to 6 months of bracing and functional rehabilitation. Anatomic repair using a modification of the Brostr?m procedure is the preferred technique for initial surgery. Anatomic reconstruction with tendon graft should be considered when repair is not possible, as it maintains physiological joint kinematics. Nonanatomic reconstructions are seldom indicated. Arthroscopic repair or reconstruction of the lateral ankle ligaments is a promising new technique with results similar to those of open surgery.
机译：踝关节扭伤是涉及踝关节外侧韧带的常见伤害，会影响各个级别的运动员。大多数患者的愈合情况均不理想，但症状持续超过3个月的患者应进行慢性踝关节不稳及其相关病症以及内翻畸形的评估。慢性踝关节不稳患者最初需要进行非手术治疗，保留手术治疗的对象是在进行了3到6个月的支撑和功能康复后仍无法改善的患者。使用Brostr？m程序进行解剖修复是初始手术的首选技术。当无法修复时，应考虑使用肌腱移植物进行解剖重建，因为它可以维持生理关节运动学。很少显示非解剖重建。关节镜修复或重建踝关节外侧韧带是一种有前途的新技术，其结果与开放手术相似。

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