Стабилизация латеральных связок повышает удовлетворенность пациентов с повреждениями хряща голеностопного сустава

Lateral ligament stabilization for ankle cartilage lesions may improve satisfaction Key takeaways: - Patients who did and did not undergo lateral ligament stabilization had similar activities of daily living and pain scores. - However, lateral ligament stabilization yielded higher satisfaction rates at 6 months. PHOENIX — Results showed patients with osteochondral lesions of the talus had higher satisfaction when lateral ligament stabilization was included with arthroscopic microfracture with bone marrow aspirate concentrate augmentation. “If a patient has clinical signs of instability, they could potentially benefit from a lateral ligament stabilization procedure, especially in active patients or someone who is going to have a lot of potential to do activities that would involve cutting, pivoting or side-to-side movement at the ankle,” Rachit Saggar, MBBS, an orthopedic surgery research fellow at the University of Pittsburgh Medical Center, told Healio about results presented at the Arthroscopy Association of North America Annual Meeting. Saggar, along with senior author MaCalus V. Hogan, MD, and colleagues, stratified 71 patients with osteochondral lesions of the talus who underwent arthroscopic microfracture with bone marrow aspirate concentrate augmentation into groups based on whether they received lateral ligament stabilization or not. Researchers collected Foot and Ankle Ability Measure Activities of Daily Living, VAS pain and patient acceptable symptom state scores at 3 and 6 months postoperatively. In his presentation, Saggar said patients who did and did not receive lateral ligament stabilization experienced consistent improvement in Foot and Ankle Ability Measure Activities of Daily Living scores preoperatively, at 6 months postoperatively and final follow-up. “There was not a significant difference between 6 months and final follow-up, but they did maintain their scores,” Saggar said. Similarly, Saggar said VAS pain scores were not significantly different between the two groups, with a decrease in pain scores preoperatively, at 6 months postoperatively and final follow-up. However, patients who underwent lateral ligament stabilization reported a higher satisfaction rate at 6 months postoperatively compared with those who did not undergo lateral ligament stabilization. “We have been looking at osteochondral lesions of the talus in a separate fashion and then ankle instability in a separate fashion. What this study is trying to do is engage and stimulate more conversation about how we do not know what the interplay between one condition affecting the other and then the other condition affecting the first is,” Saggar told Healio. “[With this study, we want to] promote dialogue and conversation about looking at instability and lesions of the cartilage in a holistic manner instead of looking at them as one single event each.” For more information: Rachit Saggar, MBBS, can be contacted at [email protected].