前距腓韧带修复术治疗踝关节外侧不稳定疗效分析

发布时间：2018-07-10 07:37

本文选题：踝关节不稳定 + 韧带修复　；参考：《中国修复重建外科杂志》2017年04期

【摘要】：目的探讨前距腓韧带修复术治疗踝关节外侧不稳定的临床疗效及合并跗骨窦综合征对疗效的影响。方法回顾分析2013年12月-2014年10月,采用前距腓韧带修复术治疗的47例踝关节外侧不稳定患者临床资料。其中,32例未合并跗骨窦综合征(A组);15例合并跗骨窦综合征(B组),同时行跗骨窦清理术。两组患者性别、年龄、病程、侧别以及术前美国矫形足踝协会(AOFAS)评分、Karlsson评分、Tegner运动功能评分等一般资料比较,差异均无统计学意义(P0.05),具有可比性。结果两组切口均Ⅰ期愈合,无早期手术相关并发症发生。患者均获随访,A组随访时间20~31个月,平均26.0个月;B组随访时间20~31个月,平均24.7个月。所有患者踝关节肿胀均消失,关节活动良好,恢复正常行走。末次随访时,两组AOFAS评分、Karlsson评分、Tegner运动功能评分均较术前明显提高,差异有统计学意义(P0.05);组间比较差异无统计学意义(P0.05)。随访期间无踝关节不稳复发。结论无论是否合并跗骨窦综合征,前距腓韧带修复术治疗踝关节外侧不稳定均能获得满意疗效。
[Abstract]:Objective to investigate the clinical effect of anterior talofibular ligament repair on lateral ankle instability and the effect of tarsal sinus syndrome. Methods from December 2013 to October 2014, 47 patients with lateral ankle instability were treated with anterior talofibular ligament repair. There were 32 cases of tarsal sinus syndrome (group A) and 15 cases of tarsal sinus syndrome (group B). There were no significant differences in sex, age, course of disease, lateral sex, preoperative AOFAS and Karlsson score and Tegner motor function score between the two groups (P0.05). Results the incisions of both groups were healed in one stage, and no early operative complications occurred. All patients were followed up for 20 ~ 31 months in group A, with an average of 26.0 months in group B, with an average follow-up time of 24.7 months. All patients with ankle swelling disappeared, joint activity was good, and normal walking. At the last follow-up, the scores of AOFAS and Karlsson and Tegner motor function in the two groups were significantly higher than those before operation (P0.05), but there was no significant difference between the two groups (P0.05). There was no recurrence of ankle instability during follow-up. Conclusion the treatment of lateral ankle instability with or without tarsal sinus syndrome is satisfactory.
【作者单位】：福建医科大学附属第二医院骨科;复旦大学附属华山医院运动医学科;
【分类号】：R687.4

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