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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace
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Clinical results of an arthroscopic modified Brostrom operation with and without an internal brace

机译:带或不带内支架的关节镜改良Brostrom手术的临床结果

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class="Heading">Background id="Par1" class="Para">The concept of utilizing nonabsorbable suture tape fixed directly to bone to augment Brostrom repairs of the anterior talofibular ligament (ATFL) has been proposed. However, no clinical data are currently available regarding the arthroscopic modified Brostrom operation with an internal brace. class="Heading">Materials and methods id="Par2" class="Para">This study involved 85 consecutive patients (22 in the with internal brace group; 63 in the without internal brace group) who could be followed up for 6?months after undergoing an arthroscopic modified Brostrom operation. The American Orthopaedic Foot & Ankle Society (AOFAS) score was administered to assess the functional status. At preoperation and at 24?weeks after surgery, the anterior drawer test was examined clinically. class="Heading">Results id="Par3" class="Para">Improvement of mean AOFAS score in the internal brace group from before surgery to two?weeks after surgery was statistically significant (p??0.05). At 24-week follow-up, the anterior drawer test showed grade 0 laxity in 19 patients (86.4?%) and grade 1 in three patients (13.6?%). Improvement of AOFAS score in the group without an internal brace from before surgery to 6?weeks after surgery was not statistically significant (p?=?0.001). At 24-week follow-up, the anterior drawer test showed grade 0 laxity in 54 patients (85.7?%) and grade 1 in nine patients (14.3?%). class="Heading">Conclusion id="Par4" class="Para">Patients in the internal brace group were able to quickly return to activity and sports. We believe this technique could be a viable option for surgically treating chronic lateral ankle instability in patients who need an early return to activity and sports. class="Heading">Level of evidence class="Para">III.
机译:class =“ Heading”>背景 id =“ Par1” class =“ Para”>利用直接固定在骨骼上的不可吸收缝合带来增强前胫腓韧带(ATFL)的Brostrom修复的概念被提出。但是,目前尚无关于使用带内支架的关节镜改良Brostrom手术的临床数据。 class =“ Heading”>材料和方法 id =“ Par2” class =“ Para” >该研究纳入了85例连续患者(带内支架组22例;不带内部支架组63例),这些患者在接受了关节镜改良Brostrom手术后可以随访6个月以上。使用美国骨科足踝学会(AOFAS)评分来评估功能状态。在术前和手术后24周,对前抽屉试验进行临床检查。 class =“ Heading”>结果 id =“ Par3” class =“ Para”>改善术前至术后两周内支架组的平均AOFAS评分具有统计学意义( p ?<?0.05)。在24周的随访中,前抽屉试验显示19例患者的0级松弛(86.4%)和3例患者的1级松弛(13.6%)。从术前至术后6周,无内支架的组的AOFAS评分改善无统计学意义( p ?=?0.001)。在24周的随访中,前抽屉测试显示54例患者的0级松弛(85.7%)和9例患者的1级松弛(14.3%)。 class =“ Heading”>结论< / h3> id =“ Par4” class =“ Para”>内部括号组中的患者能够迅速恢复活动和运动。我们认为这项技术可能是手术治疗需要早期恢复活动和运动的慢性踝关节不稳的可行选择。 class =“ Heading”>证据水平 类=“ Para”> III。

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