봉합테이프를 이용한 발목 외측인대 보강술이 생물학적 인대 재생에 미치는 영향
Magnetic Resonance Imaging Analysis of Biological Ligament Healing after Suture-Tape Augmentation for Chronic Lateral Ankle Instability
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Purpose: The aim of this study was to evaluate biological ligament healing quantitatively after suture-tape augmentation for chronic lat- eral ankle instability. Materials and Methods: Thirty-two patients underwent magnetic resonance imaging (MRI) at a minimum of 2 years after lateral liga- ment augmentation using suture-tape. Signal/noise ratios (SNRs) and widths of anterior talofibular ligaments (ATFLs) were measured on preoperative and postoperative MRI by three researchers. ATFL biological healing degrees were analyzed using changes in SNRs and widths of ATFLs and by comparing these metrics with those of normal contralateral ankles. Clinical evaluations were performed using foot and ankle outcome scores (FAOSs), Foot and Ankle Ability Measure (FAAM) scores, and ankle stress radiographs. Results: Mean FAOS and FAAM scores improved significantly from 62.4 to 93.6 and 58.3 to 92.3, respectively, at final follow-up (p<0.001). Mean SNRs and ATFL widths improved insignificantly from 8.49 to 8.21 and 2.07 to 2.15 mm, respectively, at final follow- up (p=0.424, p=0.718). Significant differences in mean SNRs and ATFL widths were found between ipsilateral and contralateral sides (p<0.001, p=0.002). Spearman’s correlation analysis revealed no significant association between clinical outcomes and degrees of biologi- cal healing of ATFLs based on MRI findings. Conclusion: Despite improvements in clinical outcome measures, the effects of suture-tape augmentation for chronic lateral ankle insta- bility on biological ligament healing were insignificant. In addition, no significant correlation was found between clinical outcomes and degrees of biological healing of ATFLs.
Abstract
Purpose: The aim of this study was to evaluate biological ligament healing quantitatively after suture-tape augmentation for chronic lat- eral ankle instability. Materials and Methods: Thirty-two patients underwent magnetic resonance imaging (MRI) at a minimum of 2 years after lateral liga- ment augmentation using suture-tape. Signal/noise ratios (SNRs) and widths of anterior talofibular ligaments (ATFLs) were measured on preoperative and postoperative MRI by three researchers. ATFL biological healing degrees were analyzed using changes in SNRs and widths of ATFLs and by comparing these metrics with those of normal contralateral ankles. Clinical evaluations were performed using foot and ankle outcome scores (FAOSs), Foot and Ankle Ability Measure (FAAM) scores, and ankle stress radiographs. Results: Mean FAOS and FAAM scores improved significantly from 62.4 to 93.6 and 58.3 to 92.3, respectively, at final follow-up (p<0.001). Mean SNRs and ATFL widths improved insignificantly from 8.49 to 8.21 and 2.07 to 2.15 mm, respectively, at final follow- up (p=0.424, p=0.718). Significant differences in mean SNRs and ATFL widths were found between ipsilateral and contralateral sides (p<0.001, p=0.002). Spearman’s correlation analysis revealed no significant association between clinical outcomes and degrees of biologi- cal healing of ATFLs based on MRI findings. Conclusion: Despite improvements in clinical outcome measures, the effects of suture-tape augmentation for chronic lateral ankle insta- bility on biological ligament healing were insignificant. In addition, no significant correlation was found between clinical outcomes and degrees of biological healing of ATFLs.
참고문헌 (35)
- O'Loughlin PF, "Ankle instability in sports", Phys Sportsmed, 37, pp.93~103 (2009)[DOI]
- Phillip A Gribble, "Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains", British Journal of Sports Medicine, 50(24), pp.1496~1505 (2016), BMJ[DOI]
- Christopher W. DiGiovanni, "Current Concepts: Lateral Ankle Instability", Foot & Ankle International, 27(10), pp.854~866 (2006), SAGE Publications[DOI]
- Matteo Guelfi, "Open and arthroscopic lateral ligament repair for treatment of chronic ankle instability: a systematic review", Foot and Ankle Surgery, 24(1), pp.11~18 (2018), Elsevier BV[DOI]
- Byung-Ki Cho, "Comparison between Suture Anchor and Transosseous Suture for the Modified-Broström Procedure", Foot & Ankle International, 33(6), pp.462~468 (2012), SAGE Publications[DOI]
- Baumhauer JF, "Surgical considerations in the treatment of ankle instability", J Athl Train, 37, pp.458~462 (2002)
- B. K. Cho, "Revision anatomical reconstruction of the lateral ligaments of the ankle augmented with suture tape for patients with a failed Broström procedure", The Bone & Joint Journal, 99-B(9), pp.1183~1189 (2017), British Editorial Society of Bone & Joint Surgery[DOI]
- Kwang Hwan Park, "Generalized Ligamentous Laxity Is an Independent Predictor of Poor Outcomes After the Modified Broström Procedure for Chronic Lateral Ankle Instability", The American Journal of Sports Medicine, 44(11), pp.2975~2983 (2016), SAGE Publications[DOI]
- 박준성, "족관절 외측 인대 봉합 후 실패의 위험 인자", 대한족부족관절학회지, 20(2), pp.62~66 (2016), 대한족부족관절학회[DOI]
- J. Chris Coetzee, "Functional Results of Open Broström Ankle Ligament Repair Augmented With a Suture Tape", Foot & Ankle International, 39(3), pp.304~310 (2018), SAGE Publications[DOI]
- Byung-Ki Cho, "Minimal Invasive Suture-Tape Augmentation for Chronic Ankle Instability", Foot & Ankle International, 36(11), pp.1330~1338 (2015), SAGE Publications[DOI]
- Ding‐Li Xu, "Modified Broström Repair With and Without Augmentation Using Suture Tape for Chronic Lateral Ankle Instability", Orthopaedic Surgery, 11(4), pp.671~678 (2019), Wiley[DOI]
- Mark Porter, "Ankle Lateral Ligament Augmentation Versus the Modified Broström-Gould Procedure: A 5-Year Randomized Controlled Trial", The American Journal of Sports Medicine, 47(3), pp.659~666 (2019), SAGE Publications[DOI]
- Byung-Ki Cho, "A Ligament Reattachment Technique for High-Demand Athletes With Chronic Ankle Instability", The Journal of Foot and Ankle Surgery, 54(1), pp.7~12 (2015), Elsevier BV[DOI]
- Byung-Ki Cho, "A Prospective Outcome and Cost-effectiveness Comparison Between Two Ligament Reattachment Techniques Using Suture Anchors for Chronic Ankle Instability", Foot & Ankle International, 36(2), pp.172~179 (2015), SAGE Publications[DOI]
- R. Schuh, "Comparison of Broström technique, suture anchor repair, and tape augmentation for reconstruction of the anterior talofibular ligament", Knee Surgery, Sports Traumatology, Arthroscopy, 24(4), pp.1101~1107 (2016), Springer Science and Business Media LLC[DOI]
- Nicholas A. Viens, "Anterior talofibular ligament ruptures, part 1: biomechanical comparison of augmented Broström repair techniques with the intact anterior talofibular ligament", The American Journal of Sports Medicine, 42(2), pp.405~411 (2014), SAGE Publications[DOI]
- M. Willegger, "Biomechanical stability of tape augmentation for anterior talofibular ligament (ATFL) repair compared to the native ATFL", Knee Surgery, Sports Traumatology, Arthroscopy, 24(4), pp.1015~1021 (2016), Springer Science and Business Media LLC[DOI]
- Byung-Ki Cho, "Effect of Lateral Ligament Augmentation Using Suture-Tape on Functional Ankle Instability", Foot & Ankle International, 40(4), pp.447~456 (2019), SAGE Publications[DOI]
- J. George DeVries, "Ankle Stabilization With Arthroscopic Versus Open With Suture Tape Augmentation Techniques", The Journal of Foot and Ankle Surgery, 58(1), pp.57~61 (2019), Elsevier BV[DOI]
- V. Jonathan Ramírez-Gómez, "Clinical and functional results of Broström-Gould procedure with suture tape augmentation: an evaluation using three scales", The Journal of Foot and Ankle Surgery, 59(4), pp.733~738 (2020), Elsevier BV[DOI]
- Byung-Ki Cho, "A randomized comparison between lateral ligaments augmentation using suture-tape and modified Broström repair in young female patients with chronic ankle instability", Foot and Ankle Surgery, 25(2), pp.137~142 (2019), Elsevier BV[DOI]
- Byung-Ki Cho, "Outcomes of the modified Broström procedure augmented with suture-tape for ankle instability in patients with generalized ligamentous laxity", Foot & Ankle International, 38(4), pp.405~411 (2017), SAGE Publications[DOI]
- P. Beighton, "ORTHOPAEDIC ASPECTS OF THE EHLERS. DANLOS SYNDROME", The Journal of Bone and Joint Surgery. British volume, 51-B(3), pp.444~453 (1969), British Editorial Society of Bone & Joint Surgery[DOI]
- Ewa M. Roos, "Validation of the Foot and Ankle Outcome Score for Ankle Ligament Reconstruction", Foot & Ankle International, 22(10), pp.788~794 (2001), SAGE Publications[DOI]
- RobRoy L. Martin, "Evidence of validity for the Foot and Ankle Ability Measure (FAAM)", Foot & Ankle International, 26(11), pp.968~983 (2005), SAGE Publications[DOI]
- Wei Liu, "Quantitative magnetic resonance imaging (MRI)analysis of anterior talofibular ligament in lateral chronic ankle instability ankles pre- and postoperatively", BMC Musculoskeletal Disorders, 18(1), pp.397~ (2017), Springer Science and Business Media LLC[DOI]
- H.J. Park, "Threedimensional isotropic T2-weighted fast spin-echo (VISTA) ankle MRI versus two-dimensional fast spin-echo T2-weighted sequences for the evaluation of anterior talofibular ligament injury", Clinical Radiology, 71(4), pp.349~355 (2016), Elsevier BV[DOI]
- Norman E. Waldrop, "Anatomic suture anchor versus the Broström technique for anterior talofibular ligament repair: a biomechanical comparison", The American Journal of Sports Medicine, 40(11), pp.2590~2596 (2012), SAGE Publications[DOI]
- H.-J. Park, "Accuracy of MRI findings in chronic lateral ankle ligament injury: Comparison with surgical findings", Clinical Radiology, 67(4), pp.313~318 (2012), Elsevier BV[DOI]
- T. Kanamoto, "The use of MRI in pre-operative evaluation of anterior talofibular ligament in chronic ankle instability", Bone & Joint Research, 3(8), pp.241~245 (2014), British Editorial Society of Bone & Joint Surgery[DOI]
- Alison M. Biercevicz, "In situ, noninvasive, T2*-weighted MRI-derived parameters predict ex vivo structural properties of an anterior cruciate ligament reconstruction or bioenhanced primary repair in a porcine model", The American Journal of Sports Medicine, 41(3), pp.560~566 (2013), SAGE Publications[DOI]
- S Dimmick, "Evaluation of thickness and appearance of anterior talofibular and calcaneofibular ligaments in normal versus abnormal ankles with MRI", Journal of Medical Imaging and Radiation Oncology, 52(6), pp.559~563 (2008), Wiley[DOI]
- Mayura Boonthathip, "Lateral ankle ligaments: MR arthrography with anatomic correlation in cadavers", Clinical Imaging, 35(1), pp.42~48 (2011), Elsevier BV[DOI]
- Atsushi Teramoto, "3D MRI evaluation of morphological characteristics of lateral ankle ligaments in injured patients and uninjured controls", Journal of Orthopaedic Science, 25(1), pp.183~187 (2020), Elsevier BV[DOI]
