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目的 探讨应用第三腓骨肌重建距腓前韧带治疗慢性踝关节不稳的手术方法并进行疗效分析.方法 回顾性分析2013年7月至2015年9月郑州市骨科医院收治的且获得完整随访的25例单侧陈旧性距腓前韧带损伤并踝关节不稳并应用第三腓骨肌行重建治疗的患者,其中男性14例,女性11例,年龄23～59岁,平均37.6岁,所有患者均有内翻位踝关节扭伤病史,并踝关节外侧慢性疼痛症状,MRI检查提示距腓前韧带损伤,病史4.9 ～ 239个月,平均25.9个月,所有患者均为初次手术,术后通过视觉模拟疼痛评分(VAS)量表和美国足踝外科协会踝关节评分标准(AOFAS)进行临床疗效评价.结果 所有患者术后获得13～39个月随访,平均26.7个月,VAS评分由术前(4.5±1.3)分降为术后1年(1.6±1.3)分,差异有统计学意义(P＜0.05),AOFAS踝关节评分由术前(56.8 ±6.9)分改善为术后1年(89.7±6.9)分,差异有统计学意义(P＜0.05).结论 应用第三腓骨肌重建距腓前韧带能够恢复踝关节稳定性,改善踝关节功能及缓解临床症状,获得较好的临床效果,值得应用及推广.“,”Objective To explore the application of peroneus tertius reconstruction in treatment of ligamenta talofibulare anterius with old injury.Methods From July 2013 to September 2015 totally 25 ankle instability patients with ligamenta talofibulare anterius old injury underwent peroneus tertius reconstruction treatment were retrospectively analyzed.Men 14 cases,Women 11 cases,ranging from 25 ～ 59 years old,mean age 37.6 years,all patients had a history of internal turnover of ankle sprain and chronic pain symptoms on the outside of the ankle.History of MRI prompted talofibular ligament damage,before 4.9 to 239 months,an average of 25.9 months,all patients were first surgery,postoperative through visual analog pain score (VAS) scale and the American association of ankle surgery ankle criteria (AOFAS) evaluate the clinical curative effect.Results All patients follow-uped 13 to 39 months,an average of 26.7 months,VAS score by preoperative (4.5 ± 1.3) points to postoperative 1 year (1.6 ± 1.3),the difference was statistically significant (P ＜0.05),AOFAS ankle score improved by preoperative (56.8 ± 6.9) for postoperative 1 year (89.7 ± 6.9),the difference was statistically significant (P ＜ 0.05).Conclusion Application of peroneus tertius reconstruction in treatment of ligamenta talofibulare anterius with old injury can restore the stability of ankle joint,improve the function of the ankle and relieve the clinical symptoms,achieve good clinical effect,is worthy of application and promotion.