关节镜辅助下踝关节融合术的临床应用与体会  

Clinical application and experience of arthroscopic ankle arthrodesis

作　　者：潘竹[1] 戴志宏[1] 蒋逸秋[1] 李杨[1] 陶天奇 戴晗豪 桂鉴超[1] PAN Zhu;DAI Zhi- hong;JIANG Yi- qiu;LI Yang;TAO Tian- qi;DAI Han- hao;GUI Jian- chao(Department of Orthopedics, Nanjing Hospital, Nanjing Medicial University/ Nanjing First Hospital, Nanjing 210006, China)

机构地区：[1]南京医科大学附属南京医院/南京市第一医院骨科,江苏南京210006

出　　处：《现代医学》2017年第11期1603-1606,共4页Modern Medical Journal

摘　　要：目的:探讨关节镜辅助下踝关节融合术的临床疗效。方法:2011年3月至2015年7月对19例踝关节晚期病变患者行关节镜辅助下踝关节融合术。其中男11例,女8例;年龄48~75岁,平均65.3岁。左侧12例,右侧7例;踝关节重度骨关节炎4例,踝关节创伤性关节炎15例。所有患者术前均进行踝关节磁共振检查,以评估踝关节软骨的情况。记录术前和术后1年的疼痛评分,评价临床疗效。结果:所有患者获得24~36个月的随访,未出现切口愈合不良和感染的早期并发症。患者(12±1)周可获得骨性融合。术前疼痛评分为(7.8±1.3)分,术后1年为(2.1±0.9)分,差异具有统计学意义(P<0.05)。结论:关节镜辅助下行踝关节融合术,手术疗效确切,具有手术创伤小、切口美观、融合率高等优势,值得临床推广应用。Objective：To investigate the approach and clinical results of arthroscopic ankle arthrodesis.Methods：From March 2011 and July 2015,19 patients（11 men and 8 women） underwent arthroscopic ankle arthrodesis.Mean age at surgery was 65.3 years（48-75 years）.12 cases were on the left side,7 cases were on the right side.4 cases were of severe osteoarthritis,15 post-traumatic osteoarthritis.All the patients underwent preoperative ankle magnetic resonance imaging（MRI） to assess the damage of ankle cartilage.Clinical outcome were assessed according to pre-and postoperative pain scores 1 year after surgery.Results：All the patients completed 24-36 months follow-up.There were no peri-operative complications such as poor healing of incision or infection.The average time for fusion was（12±1） weeks,with a range of 10 to 15 weeks.Preoperative pain scores（7.8±1.3）,postoperative pain scores 1 year after surgery（2.1±0.9）.The difference was statistically significant.Conclusion：In our study,arthroscopic ankle arthrodesis has resulted in good functional outcome with minimum and cosmetic incisions and a high fusion fate,worthy of clinical popularization and application.

关 键 词：关节镜 踝关节 关节融合术 

分 类 号：R684[医药卫生—骨科学]