Xiao Huang had a sprained foot that was not treated three years ago, resulting in habitual sprained foot. As soon as the injured foot touched the ground, he suffered severe pain. At such a young age, he had to rely on a wheelchair to live. In the past three years, Xiao Huang went to many hospitals for treatment, but none could solve his confusion. Recently, Xiao Huang found Hou Huige, deputy director of the Sports Medicine Department of the First Affiliated Hospital of Jinan University. After thorough examination, it was found that the anterior talofibular ligament of the lesser yellow had completely disappeared, requiring surgical replacement to solve the underlying problem.
Recently, Hou Huige performed an arthroscopic internal stent strip rigidity enhancement surgery on Xiao Huang, and rebuilt a flexible strip-like ligament. Xiao Huang was able to go to the ground on the second day after the operation.
Hou Huige is undergoing surgery.
He was in a wheelchair due to severe pain in his sprained foot
After the 35-year-old Xiao Huang sprained his ankle for the first time three years ago, he was young and strong and ignored it and did not deal with it in time.
It was the first time, and the subsequent twisting of the foot and falling into the air began to linger like a nightmare, and the injuries became more and more frequent, until one day, Xiao Huang found that his injured foot was in severe pain whenever he touched the ground. At first he could persist and endure, but soon the pain was so painful that he dared not touch the ground.
As a result, at a young age, he had to rely on a wheelchair to live, and he used it for three years. For this reason, his injured foot also developed muscle atrophy, osteoporosis , which is a common form of disuse atrophy in medicine.
In the past three years, Xiao Huang has consulted experts in rehabilitation, physiotherapy, and orthopedics in many places across China, and has tried various plans. However, the severe pain when the injured foot fell on the ground was still not under control. The severe painful symptoms of his disease have puzzled experts in orthopedics and rehabilitation physiotherapy.
Xiao Huang himself was also confused that his sprained feet would be reduced to relying on a wheelchair for a living. So he began to search for information on the Internet. After learning that Hou Huige of the First Affiliated Hospital of JNU was good at treating such diseases, he came to Guangzhou to seek treatment.
Minimally invasive surgery to replace ligaments
The injury caused by the sprained foot ended up on the verge of becoming disabled, and even after many visits to famous doctors, no cure was found. This is really puzzling. Hou Huige said that people have always regarded sprained ankle as a minor problem, but some patients will develop chronic ankle instability due to repeated sprained ankle. These people are particularly afraid of sprained feet when walking on uneven roads. This is already an almost psychogenic mental illness.
Hou Huige explained that in fact, the key to the problem is that after the talofibular ligament at the ankle joint is injured, the body's own proprioceptor is damaged. Therefore, as long as the road is slightly uneven, the patient will feel trembling, walking on thin ice, and his walking posture will change strangely. As the disease progresses further, this weird gait will cause changes in the human body's biomechanics, resulting in an imbalance in the strength of walking-related muscle groups, and eventually compensatory severe pain around the ankle.
Because of the severe pain, the patient will definitely not be able to withstand rehabilitation training and will not be able to exert strength. At this time, the patient enters an endless cycle of inability to exert force - muscle atrophy, osteoporosis - ankle joint instability worsening. In the opinion of many doctors, surgical intervention is not effective for the foot and ankle joint complaints reported by patients, and pain relief cannot solve the underlying problem.
"Only by seeing the essence of foot and ankle joint instability through the appearance of pain, and resolving the original problem at its root is the key." After completing relevant preoperative examinations, Hou Huige performed arthroscopic internal stent strip stiffness enhancement on Xiao Huang. After the surgery, it was discovered that his anterior talofibular ligament had completely disappeared, and a medical belt of sufficient strength was used to replace the ligament, allowing Xiao Huang to regain the ligament as a joint stabilizer. The day after surgery. Xiao Huang was able to walk on the ground, and the pain was relieved a lot.
Be wary of habitual sprained ankles
Hou Huige explained that the ankle joint is the joint that bears the greatest force per unit area of the human body and is strong but fragile. In most cases, ankle sprains are caused by abnormal external force on the ankle joint, resulting in inversion or external rotation, showing pain, swelling, subcutaneous bruising, and limited movement of the ankle joint in the case of fractures. People with exercise habits groups are more likely to develop ankle injuries.
Hou Huige said that in clinical practice, many patients do not pay attention to sprains and walk as usual without paying attention to rest. The injured ligaments are repaired in abnormal positions, which weakens the stability of the ankle joint, resulting in chronic ankle joint instability, which is prone to If the foot is injured again and the same position is sprained frequently and repeatedly, habitual sprained foot occurs.
Hou Huige said that among people with sprained feet, about 40% will develop habitual sprained feet. Long-term uneven force on the ankle joint may also cause traumatic arthritis , so attention should be paid to the first sprained foot. Within 48 hours of sprained foot, you can use ice compress method to reduce swelling and pain and allow the ligaments to fully rest. It can be treated with elastic bandage pressure bandaging and raising the affected limb. After a sprained foot, it is recommended to go to the hospital for examination as soon as possible, and apply plaster external fixation or wear a brace as soon as possible (4 to 6 weeks), so that the damaged ligament can be fully healed. In addition, warm-up activities such as leg press before exercise can effectively prevent the occurrence of ankle joint injuries.
"Not all repeated ankle sprains require surgical treatment." Hou Huige said that if the ligament is strained or partially torn, it can be treated conservatively through corresponding rehabilitation exercises. However, if it is clearly diagnosed as ligament rupture , surgical treatment can be performed as early as possible in the acute stage.
Physician profile
Hou Huige
Deputy Director of the Sports Medicine Center of the First Affiliated Hospital of Jinan University, Deputy Chief Physician, Doctor of Medicine. Young member of the upper limb sports trauma group of the Sports Medicine Branch of the Chinese Medical Association; deputy leader of the hip and ankle joint group of the Sports Medicine Branch of the Guangdong Medical Association; standing member of the Sports Medicine Physician Branch of the Guangdong Physician Association; fifth-level orthopedic physician branch of the Guangdong Physician Association He is a member of the Foot and Ankle Surgery Professional Group of the 1st Committee; a member of the Foot and Ankle Group of the Guangdong Provincial Medical Association; a member of the Foot and Ankle Special Committee of the Guangdong Provincial Society of Integrated Traditional Chinese and Western Medicine; and a member of the South China Foot and Ankle Elite Group.
has long been engaged in the diagnosis and treatment of shoulder joints, knee joints , hip joints and other joint diseases, minimally invasive arthroscopic surgery, diagnosis and treatment of articular cartilage damage in the limbs, and specializes in pain around the heel and ankle joints, acute and chronic ligament injuries, Minimally invasive treatment for anterior and posterior ankle impingement, chronic non-healing of wounds around the ankle, diabetic foot , flat foot , hallux valgus deformity, etc.
participated in 3 national-level projects, 1 international cooperative scientific research project, 3 provincial and ministerial-level projects, and published many papers.
[Reporter] Zhu Bin
[Correspondent] Zhang Cancheng
