摘要
目的研究踝关节镜下自体肌腱移植重建踝关节腓侧韧带复合体治疗踝关节慢性不稳定的安全性及有效性。方法采用踝关节镜下自体肌腱移植重建踝关节腓侧韧带复合体治疗踝关节慢性不稳定患者49例,对比术前、术后踝关节动度及踝关节功能,术前、术后采用AOFAS功能评分系统进行踝关节功能评分。结果 49例患者均得到随访,随访时间6~22个月,平均(13.6±1.5)个月。术前AOFAS功能评分(54.33±3.83)分,术后6个月为(89.16±3.28)分,术前、术后比较差异有统计学意义(P<0.05)。结论踝关节镜下自体肌腱移植重建踝关节腓侧韧带复合体治疗踝关节慢性不稳定是一项创伤小、疗效可靠、中远期效果优越的治疗方法,值得广泛推广。
Objective To study the safety and efficacy of the surgery about treating CAI(Chronic Ankle Instability) by reconstructing fibular ligament complex with autologous tendon under arthroscopy.Method The clinical data of 49 patients with chronic instability of ankle treated by ankle arthroscopic autograft and reconstruction of fibular ligament complex of ankle joint were compared before and after operation. The ankle function was evaluated by AOFAS before and after operation.Result All the 49 patients were followed up for 6~22 months(13.6±1.5)months.The AOFAS scores of pre-operation were 54.33±3.83. The AOFAS scores after 6 months were 89.16±3.28. There were significant difference between pre-operation and post-operation(P<0.05). Conclusion The ankle arthroscopy surgery about treating CAI by reconstructing fibular ligament complex with autologous tendon under arthroscopy is effective and safe.
作者
宫伟
马甲升
马晓军
万钧
温鹏
GONG Wei;MA Jiasheng;MA Xiaojun;WAN Jun;WEN Peng(Department of Sport Medicine,Ningxia Hui Autonomous Region People's Hospital,Yinchuan 750002,China)
出处
《宁夏医学杂志》
CAS
2020年第2期116-118,共3页
Ningxia Medical Journal
基金
2017年自治区卫生计生系统重点研究课题(2017-NW-028)。
