PDF herunterladen
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(04): 577-583
DOI: 10.1055/s-0041-1741446
Artigo Original
Pé e Tornozelo

Resultados de uma técnica modificada de reconstrução assistida por artroscopia para instabilidade lateral do tornozelo

Artikel in mehreren Sprachen: português | English
Carlos A. Sánchez 
1   Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Bogotá, D.C., Colômbia
,
Ignacio Briceño 
2   Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Bogotá, D.C., Colômbia
,
Jaime Robledo 
3   Departamento de Ortopedia e Traumatologia, Hospital Universitario San Ignacio, Bogotá, D.C., Colômbia
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Resumo

Objetivo O presente estudo avalia os resultados de uma técnica cirúrgica minimamente invasiva para o manejo da instabilidade aguda e crônica do tornozelo.

Métodos O presente estudo de uma série de casos avaliou retrospectivamente 40 pacientes submetidos à reconstrução percutânea assistida por artroscopia do ligamento do tornozelo entre 2013 e 2019.

Resultados O estudo incluiu 17 homens e 23 mulheres com idade média de 38,3 anos. O acompanhamento pós-intervenção utilizou a pontuação American Orthopaedic Foot and Ankle Society (AOFAS, na sigla em inglês). As pontuações do tornozelo-retropé identificaram melhora > 30 pontos na função e no controle da dor. As lesões associadas mais frequentes foram as osteocondrais (35%). Nenhum paciente precisou de reintervenção ou teve infecção durante o acompanhamento.

Conclusão A técnica do presente estudo é fácil e consegue resultados satisfatórios para a função e o controle da dor.

Nível de Evidência IV.

Palavras-chave

articulação do tornozelo - artroscopia - instabilidade articular - ligamentos articulares - articulação subtalar - tendões

Suporte Financeiro

O presente estudo não recebeu nenhum tipo de financiamento.


* Trabalho desenvolvido no Departamento de Ortopedia e Traumatologia, Pontificia Universidad Javeriana, Bogota, D.C., Colombia.




Publikationsverlauf

Eingereicht: 11. Juni 2021

Angenommen: 20. September 2021

Artikel online veröffentlicht:
09. Februar 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • Referências

  • 1 Miklovic TM, Donovan L, Protzuk OA, Kang MS, Feger MA. Acute lateral ankle sprain to chronic ankle instability: a pathway of dysfunction. Phys Sportsmed 2018; 46 (01) 116-122
    CrossrefPubMedSuche in Google Scholar
  • 2 Al-Mohrej OA, Al-Kenani NS. Chronic ankle instability: Current perspectives. Avicenna J Med 2016; 6 (04) 103-108
    Thieme ConnectPubMedSuche in Google Scholar
  • 3 Guillo S, Bauer T, Lee JW. et al. Consensus in chronic ankle instability: aetiology, assessment, surgical indications and place for arthroscopy. Orthop Traumatol Surg Res 2013; 99 (8, Suppl) S411-S419
    CrossrefPubMedSuche in Google Scholar
  • 4 Sarcon AK, Heyrani N, Giza E, Kreulen C. Lateral Ankle Sprain and Chronic Ankle Instability. Foot Ankle Orthop; 2019
    CrossrefSuche in Google Scholar
  • 5 Rodriguez-Merchan EC. Chronic ankle instability: diagnosis and treatment. Arch Orthop Trauma Surg 2012; 132 (02) 211-219
    CrossrefPubMedSuche in Google Scholar
  • 6 Russo A, Giacchè P, Marcantoni E, Arrighi A, Molfetta L. Treatment of chronic lateral ankle instability using the Broström-Gould procedure in athletes: long-term results. Joints 2016; 4 (02) 94-97
    Thieme ConnectPubMedSuche in Google Scholar
  • 7 Araoye I, De Cesar Netto C, Cone B, Hudson P, Sahranavard B, Shah A. Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?. Int Orthop 2017; 41 (11) 2289-2295
    CrossrefPubMedSuche in Google Scholar
  • 8 de Vries JS, Kingma I, Blankevoort L, van Dijk CN. Difference in balance measures between patients with chronic ankle instability and patients after an acute ankle inversion trauma. Knee Surg Sports Traumatol Arthrosc 2010; 18 (05) 601-606
    CrossrefPubMedSuche in Google Scholar
  • 9 Webster KA, Gribble PA. Functional rehabilitation interventions for chronic ankle instability: a systematic review. J Sport Rehabil 2010; 19 (01) 98-114
    CrossrefPubMedSuche in Google Scholar
  • 10 Al Adal S, Pourkazemi F, Mackey M, Hiller CE. The prevalence of pain in people with chronic ankle instability: A systematic review. J Athl Train 2019; 54 (06) 662-670
    CrossrefPubMedSuche in Google Scholar
  • 11 Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br 1965; 47 (04) 678-685
    CrossrefPubMedSuche in Google Scholar
  • 12 Simpson JD, Stewart EM, Macias DM, Chander H, Knight AC. Individuals with chronic ankle instability exhibit dynamic postural stability deficits and altered unilateral landing biomechanics: A systematic review. Phys Ther Sport 2019; 37: 210-219
    CrossrefPubMedSuche in Google Scholar
  • 13 Thompson C, Schabrun S, Romero R, Bialocerkowski A, van Dieen J, Marshall P. Factors Contributing to Chronic Ankle Instability: A Systematic Review and Meta-Analysis of Systematic Reviews. Sports Med 2018; 48 (01) 189-205
    CrossrefPubMedSuche in Google Scholar
  • 14 Vega J, Peña F, Golanó P. Minor or occult ankle instability as a cause of anterolateral pain after ankle sprain. Knee Surg Sports Traumatol Arthrosc 2016; 24 (04) 1116-1123
    CrossrefPubMedSuche in Google Scholar
  • 15 Matheny LM, Johnson NS, Liechti DJ, Clanton TO. Activity Level and Function After Lateral Ankle Ligament Repair Versus Reconstruction. Am J Sports Med 2016; 44 (05) 1301-1308
    CrossrefPubMedSuche in Google Scholar
  • 16 Mabit C, Tourné Y, Besse JL. et al. Sofcot (French Society of Orthopedic and Traumatologic Surgery). Chronic lateral ankle instability surgical repairs: the long term prospective. Orthop Traumatol Surg Res 2010; 96 (04) 417-423
    CrossrefPubMedSuche in Google Scholar
  • 17 Arroyo-Hernández M, Mellado-Romero M, Páramo-Díaz P, García-Lamas L, Vilà-Rico J. Chronic ankle instability: Arthroscopic anatomical repair. Rev Esp Cir Ortop Traumatol 2017; 61 (02) 104-110
    PubMedSuche in Google Scholar
  • 18 Song YJ, Hua YH. Similar Outcomes at Early Term After Arthroscopic or Open Repair of Chronic Ankle Instability: A Systematic Review and Meta-Analysis. J Foot Ankle Surg 2019; 58 (02) 312-319
    CrossrefPubMedSuche in Google Scholar
  • 19 Feger MA, Glaviano NR, Donovan L. et al. Current trends in the management of lateral ankle sprain in the United States. Clin J Sport Med 2017; 27 (02) 145-152
    CrossrefPubMedSuche in Google Scholar
  • 20 Hawkins RB. Arthroscopic stapling repair for chronic lateral instability. Clin Podiatr Med Surg 1987; 4 (04) 875-883
    PubMedSuche in Google Scholar
  • 21 Acevedo JI, Mangone P. Ankle instability and arthroscopic lateral ligament repair. Foot Ankle Clin 2015; 20 (01) 59-69
    CrossrefPubMedSuche in Google Scholar
  • 22 Drakos M, Behrens SB, Mulcahey MK, Paller D, Hoffman E, DiGiovanni CW. Proximity of arthroscopic ankle stabilization procedures to surrounding structures: an anatomic study. Arthroscopy 2013; 29 (06) 1089-1094
    CrossrefPubMedSuche in Google Scholar
  • 23 Kashuk KB, Landsman AS, Werd MB, Hanft JR, Roberts M. Arthroscopic lateral ankle stabilization. Clin Podiatr Med Surg 1994; 11 (03) 407-423
    PubMedSuche in Google Scholar
  • 24 Corte-Real NM, Moreira RM. Arthroscopic repair of chronic lateral ankle instability. Foot Ankle Int 2009; 30 (03) 213-217
    CrossrefPubMedSuche in Google Scholar
  • 25 Vega J, Golanó P, Pellegrino A, Rabat E, Peña F. All-inside arthroscopic lateral collateral ligament repair for ankle instability with a knotless suture anchor technique. Foot Ankle Int 2013; 34 (12) 1701-1709
    CrossrefPubMedSuche in Google Scholar
  • 26 Cao Y, Hong Y, Xu Y, Zhu Y, Xu X. Surgical management of chronic lateral ankle instability: a meta-analysis. J Orthop Surg Res 2018; 13 (01) 159
    CrossrefPubMedSuche in Google Scholar
  • 27 Mota Garcia Moreno MV, de Souza Guimarães J, Torres Gomes MJ, Marçal Vieira TE, Souza Jalil V, Júnior FH. SNG. Avaliação funcional pós-operatória da instabilidade crônica do tornozelo: comparação das técnicas Bröstrom Artroscópico versus Bröstrom-Gould modificada. Tobillo Pie 2016; 8 (02) 121-127
    Suche in Google Scholar
  • 28 Hsu AR, Ardoin GT, Davis WH, Anderson RB. Intermediate and Long-Term Outcomes of the Modified Brostrom-Evans Procedure for Lateral Ankle Ligament Reconstruction. Foot Ankle Spec 2016; 9 (02) 131-139
    CrossrefPubMedSuche in Google Scholar
  • 29 Guerrero Forero AS, De La Hoz LE, Fonseca Carrascal A. OJJ. Reconstrucción del ligamento fibulotalar anterior: resultados de una tècnica mínimamente invasiva Anterior talofibular ligament reconstruction: results from a mini open technique. Tobillo Pie 2015; 7 (01) 38-42
    Suche in Google Scholar
  • 30 Hidalgo-González H, Gerstner-Garcés JB, Ramírez-Dávila CE, Fernández-Román CV, Carvajal R. Inestabilidad cronica lateral del tobillo: comparacion entre la reparacion de brostrom-gould y una tecnica artroscopica. Rev Colomb Ortop Traumatol 2019; 33 (3–4): 82-88
    Suche in Google Scholar