本文選題：踝關(guān)節(jié)不穩(wěn)定 + 韌帶修復(fù)��； 參考：《中國修復(fù)重建外科雜志》2017年04期

【摘要】：目的探討前距腓韌帶修復(fù)術(shù)治療踝關(guān)節(jié)外側(cè)不穩(wěn)定的臨床療效及合并跗骨竇綜合征對療效的影響。方法回顧分析2013年12月-2014年10月,采用前距腓韌帶修復(fù)術(shù)治療的47例踝關(guān)節(jié)外側(cè)不穩(wěn)定患者臨床資料。其中,32例未合并跗骨竇綜合征(A組);15例合并跗骨竇綜合征(B組),同時行跗骨竇清理術(shù)。兩組患者性別、年齡、病程、側(cè)別以及術(shù)前美國矯形足踝協(xié)會(AOFAS)評分、Karlsson評分、Tegner運動功能評分等一般資料比較,差異均無統(tǒng)計學(xué)意義(P0.05),具有可比性。結(jié)果兩組切口均Ⅰ期愈合,無早期手術(shù)相關(guān)并發(fā)癥發(fā)生。患者均獲隨訪,A組隨訪時間20~31個月,平均26.0個月;B組隨訪時間20~31個月,平均24.7個月。所有患者踝關(guān)節(jié)腫脹均消失,關(guān)節(jié)活動良好,恢復(fù)正常行走。末次隨訪時,兩組AOFAS評分、Karlsson評分、Tegner運動功能評分均較術(shù)前明顯提高,差異有統(tǒng)計學(xué)意義(P0.05);組間比較差異無統(tǒng)計學(xué)意義(P0.05)。隨訪期間無踝關(guān)節(jié)不穩(wěn)復(fù)發(fā)。結(jié)論無論是否合并跗骨竇綜合征,前距腓韌帶修復(fù)術(shù)治療踝關(guān)節(jié)外側(cè)不穩(wěn)定均能獲得滿意療效。
[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.
【作者單位】： 福建醫(yī)科大學(xué)附屬第二醫(yī)院骨科;復(fù)旦大學(xué)附屬華山醫(yī)院運動醫(yī)學(xué)科;
【分類號】：R687.4

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