腓骨短肌腱外侧韧带重建术治疗慢性踝关节外侧不稳的临床疗效  

Clinical Efficacy of Lateral Collateral Ligament Reconstruction Surgery Combined with Arthroscopy in the Treatment of Chronic Lateral Ankle Instability

作　　者：陈焜[1] 杨立东[1] 韩正峰[1] 白秋铁[1] 王国栋[2] 

机构地区：[1]北京市垂杨柳医院,北京100022 [2]首都医科大学附属北京同仁医院,北京100730

出　　处：《现代生物医学进展》2015年第29期5661-5663,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81071515)

摘　　要：目的:研究外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳的临床疗效。方法:选取2012年7月-2014年7月我院收治的慢性踝关节外侧不稳患者60例,随机分为研究组和对照组,每组30例。对照组患者给予保守治疗,研究组患者采取踝关节镜探查清理联合腓骨短肌腱外侧韧带重建手术进行治疗。应用美国足踝外科裸-后足功能评分系统(AOFAS)评价两组患者治疗前后的踝关节功能评分,并比较两组的优良率、复发率以及并发症的发生率。结果:两组治疗前的AOFAS功能评分比较无统计学差异(P>0.05),两组治疗后的AOFAS功能评分均较治疗前显著升高,且研究组显著高于对照组,差异具体统计学意义(P<0.05)。研究组的优良率为96.7%(29/30),显著高于对照组的73.3%(22/30);研究组的复发率为0.0%(0/30),显著低于对照组的13.3%(4/30);研究组并发症的发生率为3.3%(1/30),显著低于对照组的20.0%(6/30),两组比较差异均具有统计学意义(P<0.05)。结论:外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳具有较好的临床疗效,且复发率较低,并发症较少。Objective： To study the clinical efficacy of lateral collateral ligament reconstruction surgery combined with arthroscopy in the treatment of chronic lateral ankle instability. Methods： 60 cases of patients with chronic lateral ankle instability were selected in our hospital from July July 2012 to July 2014 were selected and randomly divided into the study group and the control group,30 cases in each group. The patients in control group received the conservative treatment, while the patients in the study group were treated with exploratory arthroscopic ankle cleanup and the peroneus brevis tendon lateral ligament reconstruction surgery. Then the functional scores of two groups were detected in american bare foot and ankle surgery-hindfoot score system（AOFAS）, and the excellent rate, recurrence rate and incidence rates of complications between two groups were compared. Results： No significant difference was found in the AOFAS score before treatment between two groups（P〉0.05）, the AOFAS score after treatment of both groups were significantly higher than those before treatment, and the AOFAS score of study group was significantly higher than that of the control group（P〈0.05）; the excellent rate of study group was 96.7%（29/30）, which was significantly higher than that of the control group（73.3%, 22/30）, the recurrence rate of study group was 0.0%（0/30）, which was significantly lower than that of the control group（13.3%, 4/30）, the incidence rate of complications of the study group was 3.3%（1/30）, which was significantly lower than that of the control group（20.0%, 6/30）, and the differences were statistically significant（P〈0.05）. Conclusion： Lateral collateral ligament reconstruction surgery combined with arthroscopy had better clinical efficacy in the treatment of chronic lateral ankle instability, and the recurrence rate was low.

关 键 词：外侧副韧带重建手术 慢性踝关节外侧不稳 关节镜检查 临床疗效 

分 类 号：R686[医药卫生—骨科学]