腓骨骨膜-筋膜瓣移位治疗慢性踝关节不稳的临床应用

Clinical application of fibular periosteal-fascial flap in treatment of chronic ankle instability

目的:报道自体腓骨骨膜-筋膜瓣移位治疗慢性踝关节不稳的方法及疗效。方法:5例慢性踝关节外侧不稳患者接受手术治疗,将腓骨骨膜-筋膜的中下1/3向下游离至近关节囊部,保留下端血供,分成两瓣,分别修复距腓前韧带和跟腓韧带。结果:随访6～18个月,5例患者临床症状明显改善,摄X线片检查踝关节稳定性恢复良好,临床疗效满意。结论:采用自体腓骨骨膜-筋膜瓣移位治疗慢性踝关节不稳方法简便,疗效确切。

To report the surgical procedure and clinical efficacy of autologous fibular periosteal-fascial flap in treatment of chronic ankle instability. Methods: Five patients with chronic ankle instability were treated by reconstruction of lateral ligaments with autologous fibular periosteal-fascial flap. The flap was freed from the lower one thirds part of fibula to the ankle joint, and the end was kept in place to retain the blood supply. Then the flap was divided into two parts to repair anterior talofibular ligament and calcaneofibular ligament, respectively. Results: All five patients were followed-up for six to eighteen months, with complete resolve of clinical symptoms. X-ray examinations showed the satisfactory recovery of ankle stability. Conclusions: The procedure of treatment of chronic ankle instability with antulogous fibular periosteal-fascial flap is rather simple and has definitely better clinical results.