关节镜下距腓前韧带普通缝合修复与改良缝合增强修复治疗慢性踝关节不稳的疗效对比  

Comparative analysis of clinical outcomes of anterior talofibular ligamentsuture augmentation repair versus modified suture augmentation repair forchronic ankle instability patients under arthroscopy

作　　者：侯辉歌[1] 胡大海 王楠[3] 邵庆丰 罗纪 郑小飞 HOU Huige;HU Dahai;WANG Nan;SHAO Qingfeng;LUO Ji;ZHENG Xiaofei(Department of Bone and Joint Surgery and Sports Medicine Center,the First Affiliated Hospital,Jinan University,Guangzhou 510630,Guangdong,China;The International School,Jinan University,Guangzhou 510630,Guangdong,China;School of Medicine,Jinan University,Guangzhou 510630,Guangdong,China)

机构地区：[1]暨南大学附属第一医院骨关节与运动医学中心,广东广州510630 [2]暨南大学国际学院,广东广州510630 [3]暨南大学基础医学与公共卫生学院,广东广州510630

出　　处：《暨南大学学报（自然科学与医学版）》2023年第4期416-422,共7页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广州市科技计划-市校联合资助项目(202201020087)。

摘　　要：目的:本研究旨在探讨一种慢性踝关节不稳(CAI)的改良缝合增强修复手术方案,并比较关节镜下距腓前韧带普通缝合修复和改良缝合增强修复治疗CAI的临床疗效。方法:收集从2020年3月至2021年5月我院105名CAI患者,经过倾向得分匹配(PSM),其中52名患者接受普通缝合修复,53名患者接受改良缝合增强修复。采用美国骨科足踝学会评分(AOFAS)、视觉模拟量表评分(VAS)和前抽屉试验评价CAI的临床疗效。结果:改良缝合增强组的术后AOFAS评分为(84.23±9.34)明显高于普通缝合组的(78.90±9.63),P=0.0049。两治疗组之间的VAS评分(P=0.797)和前抽屉试验(P=0.488)差异无明显的统计学意义。结论:普通缝合修复和改良缝合增强修复均能取得不错的临床疗效,改良缝合增强修复手术方案治疗CAI切实可行且更为实用。Objective:The purpose of our study is to explore a modified suture augmentation repair surgery for chronic ankle instability(CAI),and compare the clinical outcome of the arthroscopic anterior talofibular ligament suture augmentation repair and modified suture augmentation repair techniques in patients with CAI.Methods:From March 2020 to May 2021,a total of 105 CAI patients from our hospital were included in this study.Among them,through propensity score matching(PSM),52 patients underwent suture augmentation repair,and 53 patients underwent modified suture augmentation repair.The American Orthopedic Foot&Ankle Society(AOFAS),Visual Analog Scale(VAS),and anterior drawer test were used to evaluate the clinical efficacy of CAI.Results:The postoperative AOFAS score of the modified suture augmentation group(84.23±9.34)was significantly higher than that of the suture augmentation group(78.90±9.63,P=0.0049).There were no significant statistical differences in the VAS score(P=0.797)and anterior drawer test(P=0.488)between the two groups.Conclusion:Both modified suture augmentation repair and suture augmentation repair can achieve good clinical efficacy.This study indicates that the modified suture augmentation repair scheme is feasible and more practical for treating CAI patients.

关 键 词：慢性踝关节不稳(CAI) 距腓前韧带 改良缝合增强修复 无结锚钉 关节镜 

分 类 号：R686.5[医药卫生—骨科学]