足関節外側側副靭帯損傷に対するＧｌａｓ法の治療成績

概要

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We report eleven patients with old lateral collateral ligament injury of the ankle joint due to sports that were treated using the Glas procedure. Subjects consisted of six males and five females. Injuries were basketball-related (five cases), soccer-related (three cases), and there was one case of tennis-, dance-, and rugby-related injury, respectively. The average age was 18.4 years, ranging from 14 to 25 years. We determined cases requiring operation by recognizing ankle instability on radiographs: subjects experienced continued ankle pain and could not play sports satisfactorily. Radiologically, the mean of the talar-tilt-angle improved from 17° to 5.3°, and that of anterior drawer distance improved from 9.4 mm to 5.6 mm in the post-operative period. Range of motion was almost full, and all patients were able return to the sport they played prior to injury. The Glas procedure for lateral collateral ligamentous injury of the ankle joint is considered a good surgical method for young patients.
西日本整形・災害外科学会の論文