Abstract:
Objective Explore the early efficacy analysis of the Lasso-loop Gould procedure under total arthroscopy for repairing the ATFL in the treatment of lateral ankle instability.
Methods A prospective case study analysis was performed on the patients with lateral instability of the ankle joint who underwent arthroscopic surgery in Jinjiang Hospital From January 2022 to January 2023, were treated with a total arthroscopic Lasso-loop Gould procedure to repair the ATFL. The efficacy and pain before and after surgery were evaluated using AOFAS and VAS scores by Wilcoxon rank sum test.
Results A total of 25 patients, including 13 males and 12 females, were enrolled, with age of 31(19, 40)years, and the time from injury to surgery was 9(7, 18)months. All the patients were followed up for 6(3, 10)months. The AOFAS score increased from 59.0(48.0, 66.0)before surgery, to 98.0(85.0, 100.0)at the last follow-up, with a statistically significant difference (Z=4.38, P<0.001). The VAS score increased from 4.0(3.0, 5.0)before surgery, to 1.0(0, 2.5) at the last follow-up , with a statistically significant difference (Z=4.33, P<0.001). There were 19 postoperative excellent cases, two good cases, and four fair cases.
Conclusion Under total arthroscope, the Lasso-loop Gould procedure for repairing the ATFL can restore the stability of the ankle joint in the treatment of lateral instability, it can also handle intra-articular injuries and achieve good therapeutic effects at early stage.
Key words:
Ankle,
Joint instability,
Arthroscope,
Lateral ligament, ankle
Zhiman Xiao, Xiqi Zhuang, Yu Gong. Early efficacy of Lasso-loop Gould procedure under arthroscope for treatment of lateral ankle instability[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(02): 280-284.