Surgical Treatment of Chronic Lateral Ankle Instability with Collville's Technique

Yıl 2013, Cilt: 5 Sayı: 3, 5 - 11, 01.12.2013

Selim Şanel Faik Murat Ünsal Nurullah Ermiş Ender Ugutmen Can Solakoğlu

Öz

Aim: We evaluated the results of Colville's technique in young patients with chronic lateral ankle instability. Methods: Between 2008 and 2010, reconstruction of lateral ankle ligaments with Colville's augmented technique was performed in seven male and one female patients mean age 22, range 20-35 years with chronic lateral ankle instability. The interval between injury and operation ranged from 21 months to 33 months mean 29 months . According to Trevino's classification system, all patients had grade IIIc lateral ankle injuries. Mean follow- up was 42 months range 24-60 months . Results: We achieved excellent results in all patients. None of the patients developed recurrent instability. Complications such as infection, sural-nerve injury were not encountered but superficial limited skin necrosis was seen in one patient. Conclusion: By means of Colville's technique, a stability of nearly 100% can be obtained, with preservation of subtalar joint motions.

Anahtar Kelimeler

lateral ankle, ligament instability, Colville

Ayak Bileği Kronik Lateral İnstabilitesinin Colville Tekniği ile Tedavisi

Öz

Amaç: Ayak bileği lateral bağlarının kronik lezyonlarında, Colville tekniğinin uygulandığı genç hastalardaki sonuçların değerlendirilmesi. Metod: 2008-2010 yılları arasında kronik ayak bileği lateral instabilitesi olan yedi erkek bir bayan hastaya ort. yaş 22; yaş dağılımı 20-35 güçlendirilmiş Colville tekniğiyle rekonstrüksiyon uygulandı. Yaralanmadan ameliyata kadar geçen süre ortalama 29 ay idi dağılımı 21-33 ay . Sekiz hastada da Trevino'nun değerlendirme kriterlerine göre tip IIIc ayak bileği lateral bağ lezyonu vardı. Olgular ortalama 42 ay süreyle dağılım 24-60 ay takip edildi. Bulgular: Tüm olgularda mükemmel sonuç elde edildi. Hiçbir hastada reküren instabilite gözlenmedi. Enfeksiyon, sural sinir lezyonu gibi komplikasyonlara rastlanmazken 1 hastada sınırlı yüzeyel cilt nekrozu saptandı. Sonuç: Colville tekniğiyle, stabilite %100'e yakın oranlarda sağlanırken, subtalar eklem hareketleri de korunmaktadır.

Anahtar Kelimeler

ateral ayak bileği, ligament instabilitesi, Colville

Kaynakça

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