改良Brostrom法联合踝关节镜治疗踝关节扭伤致慢性踝关节不稳的研究  

Modified Brostrom precedure combined with ankle arthroscopy for chronic ankle instability derived from ankle sprains

作　　者：陈冬[1] 姚建华[1] 黄炎[1] 伍罕[1] 

机构地区：[1]北京军区总医院骨科,北京100700

出　　处：《临床和实验医学杂志》2015年第6期497-499,共3页Journal of Clinical and Experimental Medicine

摘　　要：目的探讨改良Brostrom法联合踝关节镜治疗踝关节扭伤致慢性踝关节不稳的临床效果。方法选择踝关节扭伤治疗后发展为慢性踝关节不稳的患者共23例,采用改良的Brostrom法联合踝关节镜进行治疗,AOFAS评分评价患者术前、术后3个月、术后1年时的治疗效果。结果踝关节镜检查发现患者均存在不同程度滑膜增生,其中发生软骨损伤18例,Ⅱ~Ⅲ度损伤为主。术后1年患者AOFAS分项及总分均显著高于术前。结论采用改良Brostrom术式结合踝关节镜治疗踝关节扭伤致慢性踝关节不稳可获得较好的治疗效果,术后短期随访踝关节功能恢复较好。Objective To investigate the therapeutic effect of modified Brostrom procedure combined with ankle arthroscopy for chronic ankle instability derived from ankle sprains. Methods A total of 23 cases of chronic ankle instability derived from ankle sprain were investigated.The modified Brostrom procedure combined with ankle arthroscopy were used for treatment. AOFAS score were respectively evaluated before surgery and three months and one year after treatment. Results Ankle arthroscopy found varying degrees of synovial hyperplasia in all patients and cartilage damage in 18 patients（ mainly Ⅱ ~ Ⅲ degree）. After one year of surgery,AOFAS score was significantly improved. Conclusion Short-term postoperative follow-up indicates the combination of modified Brostrom procedure and ankle arthroscopy exhibits good treatment effect and better recovery of ankle function in chronic ankle instability patients.

关 键 词：踝关节扭伤 慢性踝关节不稳 改良 Brostrom 法 踝关节镜 

分 类 号：R274.9[医药卫生—中西医结合]