关节镜下跟骨成形术治疗跟腱Haglund病  

Endoscopic calcaneoplasty for Haglund disease

作　　者：熊为[1] 赵猛[1] 张劲松[1] 刘家国[1] 徐圣康[1] 罗斌[1] 

机构地区：[1]湖北医药学院附属医院创伤骨科,湖北省十堰市太和医院442000

出　　处：《中国医师进修杂志》2016年第6期533-536,共4页Chinese Journal of Postgraduates of Medicine

基　　金：基金项目：湖北医药学院附属太和医院循证医学“苗圃基金”项目（EBM2014020）

摘　　要：目的：探讨关节镜下跟骨成形术治疗跟腱Haglund病的手术方法、临床疗效及安全性。方法回顾性分析12例跟腱Haglund病的临床资料，均为保守治疗3~6个月无效后行关节镜下跟骨成形术。记录手术前后美国足踝外科协会（AOFAS）踝-后足评分、患者满意度、并发症等。结果手术均在70 min内顺利完成，平均42 min，无并发症发生。术后随访12.4（8~16）个月，术后AOFAS踝-后足评分较术前明显提高[94.6（86~100）分比58.6（32~72）分]，差异有统计学意义（P＜0.05）。术后优10例，良2例，所有患者对手术效果满意，随访期间无复发。结论关节镜下跟骨成形术治疗跟腱Haglund病微创、安全、疗效好。Objective To study the technique, clinical effect and safety of endoscopic calcaneoplasty for Haglund disease. Methods Clinical data of 12 patients with Haglund disease having underwent endoscopic calcaneoplasty were collected and retrospectively reviewed. All the patients experienced conservative treatment for 3 to 6 months which was failed and then turned to endoscopic calcaneoplasty. The American Orthopedic Foot and Ankle Society （AOFAS） ankle-hindfoot score before and after operation, patient′s satisfaction and complication were recorded. Postoperative complications were also observed. Results All the patients underwent the operation successfully within 70 min, with＆amp;nbsp;42 min on average, and no complications occurred. All the patients were followed up for 12.4 （8-16） months, the AOFAS ankle-hindfoot score after operation was significantly higher than before operation：94.6 （86-100） scores vs. 58.6 （32-72） scores, and there was statistical difference （P〈0.05）. After operation, 10 cases were excellent, and 2 cases were good. All patients were satisfied with the surgery, and no recurrence occurred during the follow-up period. Conclusions Endoscopic calcaneoplasty appears to be a safe, minimal invasive and effective surgical procedure for the treatment of Haglund disease.

关 键 词：跟腱 关节镜 回顾性研究 Haglund病 跟骨成形术 

分 类 号：R687.2[医药卫生—骨科学]