足関節外側側副靭帯手術手技 しょうひ靭帯の処置について

Abstract

We attempted to surgically treat collateral ligament injuries, especially if the patient was a teenager. In our experiments, the calcaneofibular ligament often ruptured at the end of the calcaneus side, on the anterior talofibular ligament and the calcaneofibular ligament injury. The calcaneofibular ligament is sometimes accidentally pulled out under the inferior peroneal retinaculum. In such cases, peroneal tenosynovitis may occur after anatomical repair of the calcaneofibular ligaments.We believed that the anterior talofibular ligament was the most important stabilizer of the ankle joint, so therefore transferred the calcaneofibular ligament to the capsule where the anterior talofibular ligament was attached, in order to provide reinforce nent.Six patents were in the study, and compared to two other groups; One in which the calcaneofibular ligament was intact, another in which the calcaneofibular ligament was neglected. No remarkable difference was seen among the three groups, but the instability improved more in the group in which we transferred the calcaneofibular ligament. These results indicate that this operative technique is useful for treatment of ankle ligamentous injuries.