非牵引漂浮体位前后踝联合关节镜技术治疗前后踝撞击症  

Treatment of Posterior and Anterior Ankle Impingement Syndrome by Combined Posterior and Anterior Ankle Arthroscopy under Non-distraction Floating Position

作　　者：赵志宏[1] 王雪松[2] 刘心[2] 张晋[2] 沈杰威[2] 

机构地区：[1]北京市第二医院骨科,北京100031 [2]北京积水潭医院运动损伤科

出　　处：《中国运动医学杂志》2013年第12期1047-1051,共5页Chinese Journal of Sports Medicine

摘　　要：目的：采用非牵引漂浮体位前后踝联合关节镜新技术治疗踝关节前后撞击症,并回顾性研究临床效果.方法：连续对13例前后踝关节撞击症患者进行非牵引漂浮体位前后踝联合关节镜手术,其中男性10例、女性3例.平均年龄30.3岁（15～47岁）.对患者进行至少1年临床随访,包括AOFAS主观评分、关节活动度及并发症评估.结果：平均随访15.5个月（12～22个月）,患者术前AOFAS评分平均为（70.69±177;3.90）分、术后最终平均（92.85±177;4.71）分,前后对比差异有统计学意义（P＜0.01）.所有患者术后关节活动度均达正常,无明显术后并发症.结论：采用非牵引漂浮体位前后踝联合关节镜技术治疗前后踝撞击症,能够对病变进行全面处理,是一项有效且可重复性高的技术方法.Objective To retrospectively study the clinical outcome of treating posterior and anterior ankle impingement syndrome by combined posterior and anterior ankle arthroscopy technique under non-distraction floating position. Methods 13 consecutive patients with posterior and anterior ankle impingement syndrome,including 10 males and 3 females,aged 30.3 years （15 -47 years）were treated with combined posterior and anterior arthroscopy under non-distraction floating position. They were accepted at least 1-year follow up （from 12 to 22 months）and their clinical subjective scoring,ankle range of motion （ROM）and clinical complications were evaluated. Results The mean post-operative AOFAS score（92.8±4.7）was significantly higher than the pre-operative（70.7±3.9）（P 〈 0.01 ）. The ankle ROM of all patients after surgery was completely restored. No significant postoperative complication occurred. Conclusion Combined posterior and anterior ankle arthroscopy with non-distraction floating position for treating posterior and anterior ankle impingement syndrome is an effective and repeatable technique.

关 键 词：非牵引 漂浮体位 前后踝联合关节镜 踝关节撞击症 

分 类 号：R687.3[医药卫生—骨科学]