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首页> 外文期刊>Foot and ankle international >Effect of Lateral Ligament Augmentation Using Suture-Tape on Functional Ankle Instability
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Effect of Lateral Ligament Augmentation Using Suture-Tape on Functional Ankle Instability

机译：用缝合带侧韧带增强对功能踝关节不稳定性的影响

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Background: Although lateral ligament augmentation using suture-tape has been effective for restoration of mechanical ankle stability, few data are available regarding changes of peroneal strength, proprioception, and postural control. The aim of this study was to determine effects of suture-tape augmentation on functional ankle instability (FAI). Methods: Twenty-four patients who underwent suture-tape augmentation were eligible and were followed more than 2 years postoperatively. Functional outcomes were evaluated with the Cumberland Ankle Instability Tool (CAIT), Foot and Ankle Ability Measure (FAAM). Changes of peroneal strength, proprioception and postural control were analyzed with an isokinetic dynamometer and a modified Romberg test. Results: CAIT and FAAM (average of daily and sports activity scores) significantly improved to average 27.2 points and 86.7 points, respectively, at final follow-up. Peak torque for eversion in 60 degrees/s angular velocity significantly improved to 10.6 Nm at final follow-up. Deficit ratio of peak torque for eversion significantly improved from mean 39.5% to 20.9%, and significant side-to-side difference was revealed (P < .001). There were no significant differences in joint position sense. A significant improvement in balance retention time was revealed at final follow-up, and the relative deficit ratio compared to the unaffected side was 30.9%. Conclusions: Patient-reported functional outcomes significantly improved after lateral ligament augmentation using suture-tape. Although this procedure demonstrated significant effects on FAI based on improvement of isokinetic peroneal strength and postural control, recovery rates compared to the unaffected side were not significant at the intermediate-term follow-up. In addition, there was no positive effect on proprioception of the ankle.
机译：背景：虽然使用缝线胶带的侧韧带增强对于恢复机械踝关节稳定性有效，但很少有数据可以有关腓骨强度，预防性和姿势控制的变化。本研究的目的是确定缝合卷筒增强对功能踝无稳定性（FAI）的影响。方法：二十四名接受缝合胶带增强的患者符合条件，并术后2年以上。用Cumberland脚踝不稳定工具（CAIT），脚和脚踝能力测量（FAAM）评估功能结果。通过等因速计和改性的romberg测试分析了腓骨强度，预血管精化和姿势对照的变化。结果：CAIT和FAAM（每日和体育活动得分的平均值）分别在最终随访时分别达到平均27.2分和86.7点。在60度/秒的角速度下的峰值扭矩在最终随访中显着提高到10.6nm。峰值扭矩的缺陷比从平均值39.5％显着提高至20.9％，并显示出显着的侧面差异（P <.001）。联合位置感觉没有显着差异。在最终随访时揭示了平衡保留时间的显着改善，与未受影响的一侧相比的相对缺陷比率为30.9％。结论：使用缝合胶带后侧韧带增强后患者报告的功能结果显着改善。尽管该程序基于改善等因基术强度和姿势控制的改善对FAI进行了显着影响，但与未受影响的一侧相比的恢复率在中期随访中并不重要。此外，对踝关节的预感没有积极影响。

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