The Impact of Surgical and Non-surgical Treatments on Gait and Prognosis in Patients with Chronic ankle Instability Caused by Anterior Talofibular Ligament Injury
Wang Zhe1, Zhang Xin2, Wu Zhifeng2,*
1. Rehabilitation medical diagnosis and treatment center of Jilin Provincial People's Hospital,Changchun 130021,China; 2. Department of rehabilitation medicine and physiotherapy,Jilin Provincial Armed Police Corps Hospital,Changchun 130052,China
Abstract：Objective To investigate the effects of surgical and non-surgical treatments on gait and prognosis in patients with chronic ankle instability caused by anterior talofibular ligament injury. Method A total of 95 patients with chronic ankle instability treated in our hospital were prospectively included and randomly divided into a surgical group(n=48,who underwent Brostr m-Gould ligament repair surgery)and a non-surgical group(n=47,who received 12 weeks of rehabilitation training).Using a three-dimensional motion analysis system to evaluate gait parameters,including step speed,single limb support period,ankle joint torque,and ground reaction force;Using FAOS and CAIT scales to evaluate functional improvements;Follow up for 12 months to record the rate of re injury. Result At 12 months after surgery,the surgical group showed significantly better performance than the non-surgical group in terms of step speed,stride length,single limb support period,ankle dorsiflexion torque,ankle inversion torque,and GRF asymmetry index(P<0.01);The FAOS pain score and CAIT score in the surgical group were significantly better than those in the non-surgical group(P<0.01);The surgical group had a lower rate of re sprain,and the incidence of complications was comparable between the two groups(P>0.05). Conclusion Surgical treatment can more effectively improve gait symmetry and functional prognosis in patients with chronic ankle instability,especially suitable for patients with high activity needs;Non surgical treatment can be used as an alternative for specific populations.
王哲, 张薪, 吴志峰. 手术与非手术治疗对距腓前韧带损伤慢性踝关节不稳患者步态及预后的影响[J]. 哈尔滨医药, 2025, 45(6): 21-23.
Wang Zhe, Zhang Xin, Wu Zhifeng. The Impact of Surgical and Non-surgical Treatments on Gait and Prognosis in Patients with Chronic ankle Instability Caused by Anterior Talofibular Ligament Injury. journal1, 2025, 45(6): 21-23.
2025, Vol. 45 
