人工全踝关节置换与传统的踝关节融合术治疗踝关节骨关节炎的临床效果对比  

Comparison of clinical effects of artificial total ankle replacement and traditional ankle fusion in treating ankle osteoarthritis

作　　者：周伟[1] 黄松[1] 陈敬有[1] 李贺伟[1] 

机构地区：[1]华中科技大学同济医学院附属梨园医院骨科,武汉430077

出　　处：《检验医学与临床》2016年第15期2139-2140,2143,共3页Laboratory Medicine and Clinic

摘　　要：目的探究人工全踝关节置换与传统的踝关节融合术治疗踝关节骨关节炎的疗效。方法将2012年1月至2015年12月的85例踝关节骨关节炎患者作为研究对象,将其随机分成观察组与对照组,并分别进行人工全踝关节置换与传统的踝关节融合术治疗,比较两组手术前后的视觉模拟评分法(VAS)评分、美国足踝外科协会踝-后足评分系统(AOFAS)评分、改良McGuir和Mazur评分以及治疗疗效。结果两组术后VAS评分明显下降,并且观察组的VAS评分明显低于对照组;两组患者术后的AOFAS、改良McGuir和Mazur评分均有显著升高,并且观察组的显著的高于对照组;观察组与对照组的AOFAS评分优良率分别是93.33%和77.78%,观察组的优良率明显高于对照组,且差异均有统计学意义(P<0.05)。结论利用人工全踝关节置换术治疗踝关节骨关节炎在减轻疼痛,改善踝关节功能以及改善治疗疗效方面具有显著的优势。Objective To study the clinical effect of artificial total ankle replacement and traditional ankle fusion in the treatment of ankle osteoarthritis .Methods Eighty‐five patients with ankle osteoarthritis in our hospital from January 2012 to December 2015 were selected as the research subjects and randomly divided into observation group and control group .The two groups were respec‐tively treated by conducting the artificial total ankle replacement and traditional ankle fusion .The VAS ,AOFAS ,modified Mazur and McGuire scores before and after operation and therapeutic efficacies were compared between the two groups .Results The post‐operative VAS score in the two groups was significantly decreased ,moreover the VAS score in the observation group was signifi‐cantly lower than that in the control group;the postoperative AOFAS ,modified Mazur and McGuire scores in the two groups were significantly increased ,moreover which in the observation group were significantly higher than those in the control group;the AO‐FAS score excellent rates in the observation group and control group were 93 .33% and 77 .78% respectively ,which in the observa‐tion group was significantly higher than that in the control group ,moreover the differences were statistically significant （P〈0 .05） . Conclusion Using the artificial total ankle arthroplasty for treating ankle osteoarthritis has significant advantages in the aspects of reducing pain and improving the ankle function and treatment efficacy .

关 键 词：人工全踝关节置换 踝关节融合术 踝关节活动功能 

分 类 号：R684.3[医药卫生—骨科学]