关节镜辅助微创治疗拇囊炎的疗效分析  

Clinical effect of arthroscopy assisted minimally invasive management of bunion

作　　者：李宏亮[1] 李淑媛[2] 齐玮[1] 李春宝[1] 曲峰[1] 郭旗[1] 肇刚[1] 陆兮 刘玉杰[1] 朱娟丽[1] 

机构地区：[1]解放军总医院骨科,北京100853 [2]首都医科大学附属北京同仁医院足踝外科,北京100730

出　　处：《中国骨伤》2016年第2期138-141,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的 ：评估关节镜微创治疗拇外翻拇囊炎的疗效。方法 ：2008年7月至2011年7月关节镜辅助下治疗拇外翻拇囊炎共50例（53足）,平均年龄42.3岁（30~65）岁;左侧19例,右侧28例,双侧3例。采用美国足踝外科（AOFAS）拇跖趾关节-趾间关节（MP-IP）评分系统对手术前后功能进行评价。结果：术后患者切口均Ⅰ期愈合,无拇内翻及僵硬,无血管神经损伤等并发症。AOFAS评分由术前62.19±6.01提高到术后88.26±6.81。结论：关节镜辅助下治疗拇外翻拇囊炎,具有创伤小、并发症少、有利于早期功能锻炼等优点。Objective：To evaluate the effect of arthroscopy assisted minimally invasive management of bunion and hallux valgus deformities. Methods：Total 50 patients（53 feet） with bunion and hallux valgus deformities were treated under arthroscopy from July 2008 to July 2011,with an average age of 42.3 years old（ranging from 30 to 65 years old） involving 19 left feet,28 right feet and 3 both feet. The American Orthopedic Foot and Ankle Society（AOFAS） hallux metatarsophalangeal-interphalangeal（MP-IP） Scale Score was used to evaluate the therapeutic effect. Results：There were no complications such as hallux varus,hallux rigid and nerve or blood vessel injury. Clinically,AOFAS MP-IP Scale Score was increased from62.19 ±6.01 preoperatively to 88.26 ±6.81 postoperatively. Conclusion：Arthroscopy assisted minimally invasive management appears to be a good procedure with advantages of less complication,little trauma and early rehabilitation for bunion and hallux valugs deformities.

关 键 词：关节镜 跖趾关节 拇外翻 外科手术 微创性 

分 类 号：R651.15[医药卫生—外科学]