봉합 나사를 이용한 변형 Bröstrom 술식 및 관절경 검사를 이용한 족관절 외측 불안정성의 치료 (Treatment of Chronic Ankle Lateral Instability using Modified Bröstrom Procedure with Anchor suture & Arthroscopy)

서지정보

· 발행기관 : 대한족부족관절학회
· 수록지 정보 : 대한족부족관절학회지 / 13권 / 2호 / 175 ~ 178페이지
· 저자명 : 이진영, 김갑래, 이은수, 박현진

초록

Purpose: To evaluate the result of modified Bröstrom procedure with anchor suture and explore associate lesion under arthroscopy
for chronic lateral instability.
Materials and Methods: From May 2005 to March 2009, Retrospective analysis of 126 patients with chronic lateral instability who
underwent modified Bröstrom procedure with anchor suture and arthroscopic procedure was done. Mean follow-up period was 13
months.
Results: Chronic lateral instability of the ankle almost had local synovitis by arthroscopic examination. There were osteochondral
lesion of talus on the anteromedial aspect in 63 cases, on the anterolateral aspect in 25 cases, osteochondral lesion of tibia side in
8 cases, fat hypertrophy of tibiofibular space in 120 cases, anterior fat impingement in 26 cases, intra-articular loose body in 13
cases. Mean Karlsson scoring scale was improve from 53 preoperatively to 91 postoperatively, There were 70 cases excellent, 27
cases good, 26 cases fair, 3 cases poor result according to the Sefton procedure.
Conclusion: Modified Bröstrom procedure with anchor suture and arthroscopic procedure are reliable treatment method for chronic
ankle lateral instability which has intraarticular pathology.

영어초록

Purpose: To evaluate the result of modified Bröstrom procedure with anchor suture and explore associate lesion under arthroscopy
for chronic lateral instability.
Materials and Methods: From May 2005 to March 2009, Retrospective analysis of 126 patients with chronic lateral instability who
underwent modified Bröstrom procedure with anchor suture and arthroscopic procedure was done. Mean follow-up period was 13
months.
Results: Chronic lateral instability of the ankle almost had local synovitis by arthroscopic examination. There were osteochondral
lesion of talus on the anteromedial aspect in 63 cases, on the anterolateral aspect in 25 cases, osteochondral lesion of tibia side in
8 cases, fat hypertrophy of tibiofibular space in 120 cases, anterior fat impingement in 26 cases, intra-articular loose body in 13
cases. Mean Karlsson scoring scale was improve from 53 preoperatively to 91 postoperatively, There were 70 cases excellent, 27
cases good, 26 cases fair, 3 cases poor result according to the Sefton procedure.
Conclusion: Modified Bröstrom procedure with anchor suture and arthroscopic procedure are reliable treatment method for chronic
ankle lateral instability which has intraarticular pathology.

참고자료

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