摘要
目的观察距骨骨软骨损伤逆行钻孔的临床效果。方法收集我科2008年3月-2010年12月收治的踝关节距骨骨软骨损伤患者31例，其中男性22例，女性9例，平均年龄46岁（21～64岁）。软骨损伤采用Mintz分级方法，均为I级和Ⅱ级骨软骨损伤，软骨下骨病灶直径≤1on。在X线监视下对距骨病灶行逆行钻孔治疗。术后采用视觉模拟评分（visualanaloguescale，VAS）评估疼痛、美国足踝外科协会fAmericanorthopaedicfootandanklesociety，AOFAS）踝后足评分评价关节功能。结果VAS评分从术前的6．7±1．6降低到术后的3．6±1．3（P〈0．05）；AOFAS评分从术前的55．1±13．1提高到术后的77．4±10．6（P〈0．05）。结论对踝关节I级和Ⅱ级距骨骨软骨损伤采用关节镜清理结合逆行钻孔可获得良好的临床疗效。
Objective To study the clinical effect of retrograde drilling on osteochondral lesions of talus. Methods Thirty-one patients （22 males and 9 females） with osteochondral lesions of talus at the age of 21-64 years （mean 64 years） admitted to our department from March 2008 to December 2010 were included in this study. The lesions with a diameter ≤ 1 cm were classified as grades I and II according to the Mintz classification and underwent retrograde drilling. The pain and joint function of the patients were assessed according to the VAS and AOFAS after operation. Results The VAS score was significantly lower whereas the AOFAS score was significantly higher after operation than before operation （3.6 ± 1.3 vs 6.7 ± 1.6, 77.4 ± 10.6 vs 55.1± 13.1, P 〈 0.05）. Conclusion The clinical effect of combined arthroscopic debridement and retrograde drilling on grades I and II osteochondral lesions of talus is rather good.
出处
《解放军医学院学报》
CAS
2014年第1期44-45,48,共3页
Academic Journal of Chinese PLA Medical School
关键词
骨软骨损伤
距骨
逆行钻孔
关节镜
osteochondral injury
talus
retrograde drilling
arthroscopy
