摘要
目的探讨关节镜清理与微骨折术在距骨骨软骨损伤治疗中的疗效。方法回顾分析2005年10月-2008年10月117例(123个踝)踝关节镜手术。男71例,女46例;平均年龄34.3(16-50)岁;左踝44例,右踝68例,双踝5例。采用美国足踝外科(AOFAS)踝-后足评分系统、改良McCurie踝关节评分系统和Mazur踝关节评分系统对手术前后功能状况进行评分。结果术后患者切口I期愈合,无严重术后并发症。随访117例,时间26-62个月,平均42.7个月。原有踝关节疼痛、肿胀、活动受限等症状基本消失。术后AOFAS、改良McCurie和Mazur踝关节评分系统评分均明显提高,分别从术前(53.5±8.67)分、(54.6±9.51)分和(58.4±9.67)分提高至(84.73±7.48)分(t=10.68,P=0.00)、(85.17±9.63)分(t=9.43,P=0.00)和(84.73±7.48)分(t=8.29,P=0.00)。结论关节镜清理与微骨折术治疗距骨骨软骨损伤疗效确切,具有创伤小、并发症少,利于早期功能锻炼等优点。
Objective To study the effect of arthroscopic debridement and microfracture on osteochondral lesions of talus.Methods Arthroscopic ankle joint operations for 117 patients with 123 ankles involved（71 males,46 females） at the age of 34.3 years（range 16-50 years） performed in our hospital from October 2005 to October 2008 were retrospectively analyzed.Of the 123 patients,44 had left ankle lesions,68 had right ankle lesions,and 5 had both left and right ankle lesions.The functions of ankle joint were scored using the AOFAS hindfoot and ankle scoring system,the modified McGuire scoring system,and the Mazur scoring system,respectively.Results The incision was healed by first intention with no severe complications after operation.The patients were followed up for 26-62 months（mean 42.7 months）,during which the symptoms such as pain,swelling and activity limitation of ankle joint were almost disappeared.The scores of ankle joints scored with the 3 scoring systems were significantly higher after operation than before operation（84.73±7.48 vs 53.5±8.67,85.17±9.63 vs 54.6±9.51,and 85.17±9.63 vs 58.4±9.67;t=10.68,9.43 and 8.29;P0.05）.Conclusion Arthroscopic debridement and microfracture are effective against osteochondral lesions of talus with few traumas and complications,thus beneficial for the early functional exercises of ankle joints.
出处
《军医进修学院学报》
CAS
2011年第8期786-787,790,共3页
Academic Journal of Pla Postgraduate Medical School
关键词
踝关节
关节镜
距骨:软骨损伤
Ankle Joint
Arthroscopes
Talus
Cartilage Injury
