족관절 외측 불안정성 재건 시 시행하는 탐험적 관절경의 유용성

• Published in: 대한족부족관절학회지 Vol. 14; no. 2; pp. 123 - 129
• Main Authors: 이경태, 김진수, 양기원, 박영욱, 김준범, 김태원, 조재호, Lee, Kyung-Tai, Kim, Jin-Su, Young, Ki-Won, Park, Young-Uk, Kim, Jun-Beom, Kim, Tae-Won, Jo, Jae-Ho
• Format: Journal Article
• Language: Korean
• Published: 대한족부족관절학회 01.12.2010
• Subjects: 정형외과학; Ankle joint; Arthroscopy; Chronic lateral ankle instability; Modified Brostrom operation
• ISSN: 1738-3757; 2288-8551

Purpose: To evaluate the efficacy of the arthroscopic exploration combined with modified Brostrom operation (MBO) for the treatment of chronic lateral ankle instability (CAI). Materials and Methods: Sixty patients who diagnosed a CAI were performed MBO. We divided to 2 groups, whether simultaneously inspected by arthroscopy (group B) or not (group A). The both group's results were compared according to American Orthopedic Foot and Ankle Society Ankle-hindfoot score (AOFAS), functional ankle score and visual analog scale (VAS) at preoperative and final follow-up period. Results: There were no significant differences of AOFAS, functional ankle score and VAS between both groups at final follow-up. However, in group A, 2 cases associated with medial ankle instability and syndesmotic injuries were did not diagnosed preoperatively, showed poor prognosis. In group B, one case had a permanent peroneal nerve symptom. The match rate of intra-articular lesions between preoperative diagnosis and postoperative arthroscopic diagnosis was 30% in group B. Conclusion: Combination of arthroscopic exploration and MBO is effective strategy for intra-operatively discrimination of intra-articular associated lesions for CAI.