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Surgical Treatment of Chronic Ankle Lateral Instability: Reconstruction with Tenodesis or Tendon Graft
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ÀÌÁØ¿µ(Lee Jun-Young) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
¹Ú»ó¼ö(Park Sang-Soo) - Á¶¼±´ëÇб³ ÀÇ°ú´ëÇÐ Á¤Çü¿Ü°úÇб³½Ç
Abstract
¸¸¼º Á·°üÀý ¿ÜÃø ºÒ¾ÈÁ¤¼ºÀÇ Ä¡·á·Î ¼ö¸¹Àº ¿ÜÃø Àδë Àç°Ç¼úÀÌ ¹ßÇ¥µÇ¾úÁö¸¸ ÀÌ»óÀûÀÎ ¼ö¼ú¹æ¹ý¿¡ ´ëÇؼ´Â ÀÌ°ßÀÌ ¸¹´Ù. ¸¸¼º Á·°üÀý ¿ÜÃø ºÒ¾ÈÁ¤¼ºÀÇ Ä¡·á ¹æ¹ýÀ¸·Î ÇغÎÇÐÀû ºÀÇÕ¼úÀº ±× °á°ú°¡ ¸Å¿ì ÈǸ¢ÇÏÁö¸¸ ȯÀÚ°¡ °úüÁßÀ̰ųª ¿îµ¿·®ÀÌ ¸¹Àº ¼±¼ö, ÀÌÀü ÇغÎÇÐÀû ºÀÇÕ¼úÀÌ ½ÇÆÐÇÑ °æ¿ì, Àδ밡 ÀÌ¹Ì ¸¶¸ê ¶Ç´Â ¹ÝÈçÈµÈ °æ¿ì ½ÇÆÐÇÒ À§Ç輺ÀÌ ³ôÀº ´ÜÁ¡ÀÌ ÀÖ´Ù. ÀÌ·¯ÇÑ °æ¿ì ´Üºñ°ñ°Ç °íÁ¤¼úÀ» ÀÌ¿ëÇÑ ºñÇغÎÇÐÀû Àç°Ç¼ú ¹× ÀÚ°¡°ÇÀ̳ª µ¿Á¾°ÇÀ» ÀÌ¿ëÇÑ ÇغÎÇÐÀû Àç°Ç¼úÀÇ ÀûÀÀÁõÀÌ µÉ °ÍÀÌ´Ù.
Numerous reconstructive procedures have been described for treatment of chronic lateral ankle instability; however, controversy remains regarding the ideal surgical option. Numerous studies of the Brostrom procedure or its modifications have followed, reporting good to excellent results. However they have some limitations regarding the instabilities for over-weight, physically high demanding patients, failed anatomical repair, and particularly for significantly deficient or attenuated ligaments. This may indicate the need for non-anatomical reconstruction using peroneus brevis tendon or anatomical reconstruction using the allo/autograft tendon.
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Á·°üÀý, ¸¸¼º ¿ÜÃø ºÒ¾ÈÁ¤¼º, Àç°Ç¼ú, °Ç°íÁ¤¼ú ¶Ç´Â °Ç À̽ļú
ankle, chronic lateral instability, reconstruction, tenodesis or tendon graft
KMID :
0361620140490010022
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