关节镜下踝关节融合术治疗踝关节重度骨关节炎的近期疗效以及手术要点  

Short-term effect and surgical points of arthroscopic ankle arthrodesis in the treatment of severe ankle joint osteoarthritis

作　　者：王建华 

机构地区：[1]延安市博爱医院骨外科,陕西延安716000

出　　处：《临床医学研究与实践》2018年第2期74-75,共2页Clinical Research and Practice

摘　　要：目的探讨关节镜下踝关节融合术治疗踝关节重度骨关节炎(OA)的近期疗效和手术要点。方法选取我院骨科收治的重度OA患者50例,以完全抽样法分为两组,各25例。对照组采取开放踝关节融合术,治疗组采取关节镜辅助踝关节融合术。比较两组的近期疗效。结果治疗组关节融合时间明显短于对照组(P<0.05)。治疗后,两组VAS评分均显著降低,AOFAS评分均显著升高,且治疗组均优于对照组(P<0.05)。两组关节融合率、并发症总发生率无明显差异(P>0.05)。结论针对重度OA患者给予关节镜下踝关节融合术治疗可加速骨性融合,缓解关节疼痛,并可提高踝关节功能,值得临床应用。Objective To explore the short-term efficacy and surgical points of arthroscopic ankle arthrodesis in thetreatment of severe ankle joint osteoarthritis （OA）. Methods Fifty cases of patients with severe OA were randomly dividedinto two groups by the complete sampling method, with 25 cases in each group. The control group received open anklearthrodesis, the treatment group received arthroscopic ankle arthrodesis. The short -term efficacy of both groups wascompared. Results The time of joint fusion in the treatment group was significantly shorter than that in the control group（P 〈0.05）. After treatment, the VAS scores of both groups decreased significantly, and the AOFAS scores increasedsignificantly, and those in the treatment group were better than the control group （P〈0.05）. There were no significantdifferences in the rate of joint fusion and the incidence of complications between the two groups（P〉0.05）. Conclusion Thetreatment of severe OA patients under arthroscopic ankle arthrodesis can accelerate the fusion of bone, relieve joint painand improve the function of ankle joint, which is worthy of clinical application.

关 键 词：关节镜 踝关节融合术 踝关节重度骨关节炎 

分 类 号：R687.4[医药卫生—骨科学]