改良Brostrom手术在训练伤致慢性踝关节不稳距腓前韧带损伤中的应用  

Application of modified Brostrom procedure for chronic ankle instability combined with anterior talofibular ligament injury

作　　者：刘欣伟[1] 刘松波[1] 张敬东[1] 刘铭[1] 郭超[1] 李如珍[1] 王宇[1] 

机构地区：[1]沈阳军区总医院骨科,全军重症战创伤救治中心,辽宁沈阳110016

出　　处：《局解手术学杂志》2017年第9期672-675,共4页Journal of Regional Anatomy and Operative Surgery

基　　金：辽宁省科学事业公益研究基金(2014001003)

摘　　要：目的探讨踝关节镜结合改良Brostrom手术在慢性踝关节不稳距腓前韧带损伤中的应用效果。方法 2012年1月至2015年6月我科收治了42例慢性踝关节不稳距腓前韧带损伤的患者,均行改良Brostrom手术,术后采用AOFAS评分系统进行疗效评价。结果所有患者获9~17个月随访,平均(12.7±3.5)个月。全部病例末次随访时均能正常参与日常跑步等训练任务。2例合并距骨软骨损伤者运动水平较伤前下降,余40例能参加对抗性训练。全部病例术后AOFAS评分(88.4±4.9)分较术前的(43.3±7.8)分提高,手术前后比较差异具有统计学意义(P<0.05)。结论踝关节镜结合改良Brostrom手术在训练伤致慢性踝关节不稳距腓前韧带损伤中的应用疗效满意,有利于患者快速康复。Objective To discuss the clinical effects of arthroscopy combined with Brostrom repair in the treatment for chronic ankle instability talofibular ligament injury. Methods From January 2012 to June 2015,42 cases of chronic ankle instability in our hospital were performed modified Brostrom repair. All the cases were evaluated by AOFAS scoring system. Results All the patients were followed up for 9 to 17 months, an average of （ 12.7 ± 3.5 ） months. At the last follow-up, all cases could participate in normal daily running training mission. Activity levels of 2 cases with cartilage injury had a decline than before. The others were able to attend the confrontational training. Postoperative AOFAS score （ 88.4 ±4.9 ） increased compared with preoperative score （43.3 ±7.8 ）, the difference was significant （ P 〈 0.05 ）. Conclusion The curative effect of arthroscopy combined with Brostrom repair in treatment of chronic ankle instability talofibular ligament injury is satifactory. It can be helpful to the wounded rapid rehabilitation and good for the popularization and application in basic-level hospitals.

关 键 词：慢性踝关节不稳 关节镜 Brostrom修复术 距腓前韧带 

分 类 号：R686.5[医药卫生—骨科学]