慢性踝关节外侧不稳定解剖重建与改良Brostrom法修复的疗效对比  

Comparison of the Effect Between Anatomical Reconstruction and Modified Brostrom Suture Repair for Chronic Lateral Ankle Instability

作　　者：洪思敏[1] 林海芳[1] 杨春练[1] 

机构地区：[1]厦门大学附属第一医院骨科,福建厦门361000

出　　处：《中国卫生标准管理》2017年第19期57-59,共3页China Health Standard Management

摘　　要：目的分析慢性踝关节外侧不稳定患者采用腓骨侧单隧道解剖重建与改良Brostrom法缝合修复的临床效果。方法选取我院接受手术治疗的慢性踝关节外侧不稳定患者88例,按手术方式分成治疗组和对照组,对照组采用改良Brostrom法缝合修复治疗;治疗组采用腓骨侧单隧道解剖重建治疗,对比两组治疗疗效。结果治疗组患者慢性踝关节外侧不稳定手术治疗总有效率高于对照组,手术后住院总时间和踝关节功能恢复正常时间短于对照组,差异有统计学意义(P<0.05)。结论慢性踝关节外侧不稳定患者采用腓骨侧单隧道解剖重建方式进行治疗,能够大幅度改善踝关节状态,减少围手术期并发症。Objective To analyze the clinical effect of unilateral fibulartunnel anatomical reconstruction and modified Brostrom suture repair in patients with chronic lateral ankle instability. Methods 88 patients with lateral ankle instability who underwent surgical treatment in our hospital were divided into treatment group and control group by different operation methods, the control group was treated with modified Brostrom suture repair; the treatment group was treated with unilateral fibular tunnel anatomical reconstruction, and the therapeutic effect was compared between the two groups. Results The total effective rate of lateral ankle instability in the treatment group was higher than that in the control group, total hospitalization time and the time of ankle function returned to normal after operation were shorter than that in the control group, the difference was statistically signifcant （P 〈 0.05）. Conclusion Patients with chronic lateral ankle instability treated with unilateral fibular tunnel anatomical reconstruction can greatly improve the ankle joint status and reduce perioperative complications.

关 键 词：慢性踝关节外侧不稳定 腓骨侧单隧道解剖重建 改良Brostrom法缝合修复 

分 类 号：R687[医药卫生—骨科学]