betway必威登陆网址 (betway.com )学报 ›› 2021, Vol. 42 ›› Issue (6): 460-462.DOI: 10.3969/j.issn.2097-0005.2021.06.018

• 临床研究 • 上一篇    下一篇

微创踝关节融合术治疗足踝创伤性关节炎的临床价值

徐栋   

  1. 宁阳县第一人民医院骨科,山东 宁阳 271400
  • 收稿日期:2020-12-15 出版日期:2021-06-25 发布日期:2021-08-25
  • 作者简介:徐栋(1979—),男,山东宁阳人,主治医师,主要从事手足及显微外科工作。E-mail:xyd138548@163.com。

Clinical value of minimally invasive ankle arthrodesis in the treatment of traumatic ankle arthritis

Xu Dong   

  1. Dept. of Orthopedics, Ningyang First People's Hospital,Ningyang 271400,China
  • Received:2020-12-15 Online:2021-06-25 Published:2021-08-25

摘要: 目的 探讨关节镜辅助下踝关节融合术治疗足踝创伤性关节炎的临床价值。方法 回顾性分析2017年2月—2019年5月宁阳县第一人民医院收治的43例足踝严重创伤性关节炎患者的临床资料,其中23例接受关节镜辅助下踝关节融合术(微创组),20例接受开放式踝关节融合术(开放组),对比两组患者术后当天及7 天的疼痛评分,以及术后6个月和1年的骨性融合率、AOFAS足踝功能评分。结果 术后1天和7天微创组患者的疼痛评分为(4.18±1.10)分和(1.55±0.52)分,均低于开放组的(5.54±1.15)分和(3.45±0.58)分,差异有统计学意义(t=-3.959、-11.327,P<0.001);术后6个月微创组的骨性融合率为82.61%,明显高于开放组的35.00%,差异具有统计学意义(χ2=10.143,P<0.001);术后1年时两组患者全部形成骨性融合。术后6个月,两组患者AOFAS踝与后足功能评分差异无统计学意义(P>0.05);术后1年微创组的AOFAS 评分为(77.55±5.70)分,开放组为(66.49±4.55)分,两组差异具有统计学意义(t=6.977,P<0.001)。结论 微创踝关节融合术治疗足踝严重创伤性关节炎更具优势,可以减轻术后疼痛、提高早期骨性融合率、加速恢复足踝功能,值得进一步开展基础和临床研究。

关键词: 足踝, 创伤性关节炎, 关节镜, 关节融合术

Abstract: Objective: To investigate the clinical value of arthroscope-assisted ankle arthrodesis in the treatment of traumatic arthritis of foot and ankle. Methods: From February 2017 to May 2019, retrospective analysis of the 43 cases of the clinical data of patients with severe traumatic ankle arthritis was made, 23 cases of ankle arthrodesis was performed arthroscopically (minimally invasive group), 20 patients who underwent open ankle arthrodesis (open group), and postoperative pain score difference of the day and 7 days, and osseous fusion rate after 6 months and 1 year and the differences between the AOFAS ankle function score were compared two groups of patients. Results: The pain scores of the minimally invasive group were (4.18±1.10) and (1.55±0.52) 1 and 7 days after surgery, which were both lower than those of the open group(5.54±1.15)and(3.45±0.58).The differences were statistically significant (t=-3.959,-11.327,P<0.001). The bone fusion rate of the minimally invasive group was 82.61% 6 months after surgery, which was significantly higher than that of the open group(35.00%).The difference was statistically significant (χ2=10.143, P<0.001). Bone fusion was formed in both groups at 1 year after surgery. Six months after surgery, there was no difference in AOFAS ankle function score between the two groups (P>0.05).AOFAS score was (77.55±5.70) in the minimally invasive group and (66.49±4.55) in the open group 1 year after surgery, and the difference between the two groups was statistically significant(t=6.977, P<0.001). Conclusion: Minimally invasive ankle arthrodesis has more advantages in the treatment of severe traumatic arthritis of foot and ankle, which can reduce postoperative pain, improve the rate of early bone fusion and accelerate the recovery of foot and ankle function, which is worthy of further basic and clinical studies.

Key words: athlete's foot, traumatic arthritis, arthroscopes, arthrodesis

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