微创踝关节融合术治疗足踝创伤性关节炎的疗效分析  

Efficacy analysis of minimally invasive ankle arthrodesis on traumatic arthritis of foot and ankle

作　　者：王硕[1] WANG Shuo(Department of Foot and Ankle Surgery,Affiliated Central Hospital of Shenyang Medical College,Shenyang 110021,China)

机构地区：[1]沈阳医学院附属中心医院足踝外科,110021

出　　处：《中国实用医药》2021年第15期58-60,共3页China Practical Medicine

摘　　要：目的分析微创踝关节融合术治疗足踝创伤性关节炎的疗效。方法42例足踝创伤性关节炎患者,依据随机数字表法分为对照组和观察组,每组21例。对照组患者给予开放性手术治疗,观察组给予微创踝关节融合术治疗。比较两组手术操作时间和住院时间、功能优良率、并发症发生率及治疗前后美国矫形外科足踝协会(AOFAS)评分、日常生活能力量表(ADL)评分。结果观察组手术操作时间(66.55±1.26)min和住院时间(8.23±2.67)d均短于对照组的(79.21±2.21)min、(11.12±3.18)d,差异有统计学意义(P<0.05)。治疗后,两组AOFAS评分及ADL评分均高于治疗前,且观察组AOFAS评分及ADL评分显著高于对照组,差异有统计学意义(P<0.05)。观察组功能优良率高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论微创踝关节融合术对于足踝创伤性关节炎的治疗效果确切,可改善患者的预后,促进患者足踝功能改善和生活能力提高,还能减少并发症发生。Objective To analyze the efficacy of minimally invasive ankle arthrodesis on traumatic arthritis of foot and ankle.Methods A total of 42 patients with traumatic arthritis of foot and ankle were divided into control group and observation group according to random numerical table,with 21 cases in each group.The control group was treated with open surgery,and the observation group was treated with minimally invasive ankle arthrodesis.The operation time,hospitalization time,function excellent rate,occurrence of complications,American Orthopaedic Foot and Ankle Society(AOFAS)score and activities of daily living(ADL)score before and after treatment were compared between the two groups.Results The operation time(66.55±1.26)min and hospitalization time(8.23±2.67)d of the observation group were shorter than(79.21±2.21)min and(11.12±3.18)d of the control group,and the difference was statistically significant(P<0.05).After treatment,the AOFAS score and ADL score of the two groups were higher than those before treatment,and the observation group was significantly higher than the control group.The difference was statistically significant(P<0.05).The function excellent rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Minimally invasive ankle arthrodesis shows affirmative therapeutic effect on traumatic arthritis of foot and ankle,and it can improve the prognosis,improve the ankle function and life ability of patients,but also reduce the occurrence of complications.

关 键 词：微创踝关节融合术 足踝创伤性关节炎 疗效 

分 类 号：R687.3[医药卫生—骨科学]