Xiao Lan, who is in her twenties, likes basketball. One day, when I was practicing, I found that as long as my right foot stepped on the ground, the outside of my ankle was as painful as being electrocuted. I can't even play ball or walk. I immediately went to Tzu Chi Hospital in Taipei. Orthopedic surgeon Wang found that her ankle ligament was broken. Considering the importance of young people's mobility, she replaced her own ligament with donor allogenic ligament and reconstructed her own ligament through arthroscopic minimally invasive surgery. After half a year's postoperative rest and recovery, Xiaolan recovered her feet, and then galloped the court with a group of peers. There are three grades of ankle joint sports injury, and up to 80% is ankle joint lateral ligament injury. Dr. Wang pointed out that up to 80% of ankle joint sports injuries are ankle joint lateral ligament injuries. According to the degree of injury, it is divided into three grades. If the joint feels pain when it is pulled or moved, but there is no obvious change in appearance, it is mild; Most ligaments are broken, joint swelling, severe pain and moderate inflammatory symptoms; The ligament is completely broken, and the joint has no supporting force, which leads to instability, often accompanied by serious hematoma, which belongs to serious ankle sprain. Dr. Wang said that people with sprained ankles should follow the "price principle of acute sports injuries" and then seek medical treatment as soon as possible for detailed diagnosis and treatment. The price principle of acute sports injury refers to P (protection), R (rest), I (ice), C (compression) and E (elevation) of the affected limb. If you accidentally sprain your ankle, master the above principles, and then reduce the use of the injured part for at least two months, supplemented by physical rehabilitation. More than 70% patients will heal their ligaments by themselves. If the patient can't recover after rest and the ankle is still unstable, the possibility of surgical treatment must be evaluated. If the ankle varus angle exceeds 8 degrees and the pain persists, consider surgery. Dr. Wang explained that through the X-ray pressure test, if the patient's ankle varus angle exceeds 8 degrees, or the traction distance exceeds 1 cm, it means that the lateral ligament injury of the ankle joint leads to obvious instability and surgery can be performed. If the angle and displacement are not large, but after a period of conservative treatment, the pain still exists or the ankle feels unstable, you can also consider surgery. Generally speaking, the wound of traditional ligament repair surgery is about 4 to 5 cm, which is easy to be infected and slow to recover; However, with the development of technology and instruments, there are two kinds of operations: "endoscopic suture" and "ligament transplantation". The doctor will decide the treatment plan according to the severity and daily activities of the patient. Slight patients can reconstruct ligaments by arthroscopic minimally invasive surgery, with only two or three small wounds of about 0.3 ~ 0.5cm after operation, which is a new trend in the treatment of ligament rupture at present. Ankle pain, joint swelling, don't massage yourself to seek remedy. As for the sprain when walking at ordinary times, or the intense use of sports enthusiasts for a long time, it may make the ligament loose and even damage. Dr. Wang reminded that once there is ankle pain or joint swelling, you must find a specialist as soon as possible. Don't rub yourself, seek remedies, so as not to make the ligament rupture more serious and increase the difficulty of treatment.
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