대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제8권2호
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- Pages.149-152
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- 2004
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
실패한 만성 족근관절 외측 재건술에서의 변형 Brostrom 술식의 결과
Modified Brostrom Operation for Revision Lateral Ankle Ligament Reconstruction
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이경태
(을지의과대학 을지병원 정형외과) ;
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양기원
(을지의과대학 을지병원 정형외과) ;
- 김재영 (을지의과대학 을지병원 정형외과) ;
- 김응수 (을지의과대학 을지병원 정형외과) ;
- 차승도 (을지의과대학 을지병원 정형외과) ;
- 박신이 (을지의과대학 을지병원 정형외과)
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Lee, Kyung-Tai
(Department of Orthopedic Surgery, Eulji Hospital) ;
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Young, Ki-Won
(Department of Orthopedic Surgery, Eulji Hospital) ;
- Kim, J-Young (Department of Orthopedic Surgery, Eulji Hospital) ;
- Kim, Eung-Soo (Department of Orthopedic Surgery, Eulji Hospital) ;
- Cha, Seung-Do (Department of Orthopedic Surgery, Eulji Hospital) ;
- Park, Shin-Yi (Department of Orthopedic Surgery, Eulji Hospital)
- 발행 : 2004.12.01
초록
Purpose: We assessed the clinical results of modified Brostrom procedure as a revision method after failure of a primary reconstruction. Materials and Methods: This is a retrospective study of seven patients treated with Modified Brostrom procedure after failed lateral ankle ligament reconstruction between 1996 and 2002. Instability symptom developed average 4.7 month after the initial reconstruction surgery at other clinics. All patients had significant functional impairment before surgery and not responded to conservative protocols. Modified Brostrom procedure was applied to all patients. Results: The average follow up was 51 months (18 to 84). Seven of eight patients had clinical stability following revision reconstruction, six patients (75%) returned to their previous functional level. American Orthopaedic Foot and Ankle Society ankle-hindfoot scores averaged 87.5. There is no difference in active or passive range of motion of plantar flexion or dorsiflexion when compared to the contralateral ankle. However, three patients were noted to have lost some degree of inversion when compated to contralateral ankle. Two patients had osteochondral lesion and multiple spurs and had pain around the ankle that prevented their full recovery. One patient complained of persistent pain which was considered complex regional pain syndrome. Conclusion: Though the outcome of the Modified Brostrom procedure as a method of revision surgery was less satisfactory compared to the results of primary ankle reconstruction, it would be an appropriate option when concomitant abnormalities were not accompanying.