带线锚钉修复与改良开放式Brostr?m修复对慢性踝关节不稳距腓前韧带损伤患者术后踝关节功能的影响  

Influence of suture anchor repair and modified open Brostr?m repair on postoperative ankle function in patients with chronic ankle instability and anterior talofibular ligament injury

作　　者：缪小兵[1] 顾本进 崔益华[1] 张君[1] 冯素娟[1] MIAO Xiaobing;GU Benjin;CUI Yihua;ZHANG Jun;FENG Sujuan(Department of Orthopedics,the People's Hospital of Rugao,Rugao Hospital Affiliated to Nantong University,Nantong 226500,Jiangsu,China)

机构地区：[1]如皋市人民医院,南通大学附属如皋医院骨科,江苏南通226500

出　　处：《中南医学科学杂志》2024年第5期835-838,共4页Medical Science Journal of Central South China

基　　金：南通市卫健委科研课题(MSZ2022080)。

摘　　要：目的 探究带线锚钉修复与改良开放式Brostr9m修复对慢性踝关节不稳距腓前韧带(ATFL)损伤患者术后踝关节功能的影响。方法 选取慢性踝关节不稳ATFL损伤患者80例,依据治疗方法不同,采用带线锚钉修复的43例为锚钉组,采用改良开放式Brostr9m修复的37例为Brostr9m组。比较两组围手术期指标、疼痛情况(术前、术后1周、术后1个月、术后3个月和术后1年)、足踝功能和踝关节活动度(术前、术后1年),记录并发症情况。结果 锚钉组可负重时间和重返运动时间均低于Brostr9m组(P<0.05);术后1周、术后1个月、术后3个月、术后1年,两组疼痛VAS评分均较术前逐渐呈递减趋势降低(P<0.05),锚钉组术后1周、术后1个月低于Brostr9m组(P<0.05);术后1年,两组AOFAS足踝量表评分、Tegner评分和Kofoed踝关节功能评分均较术前提高,且锚钉组高于Brostr9m组(P<0.05);两组背屈角度和跖屈角度均较术前提升,距骨倾斜度和距骨前移度均较术前降低,且两组间差异有统计学意义(P<0.05);锚钉组并发症总发生率低于Brostr9m组(P<0.05)。结论 带线锚钉修复对ATFL缓解疼痛、改善踝关节功能和活动度、促进康复进程及减少术后并发症方面较改良开放式Brostr9m修复更有优势。Aim To investigate the influence of suture anchor repair and modified open Brostr9m repair on postoperative ankle function in patients with chronic ankle instability complicated with anterior talofibular ligament(ATFL) injury.Methods 80 patients with chronic ankle instability and ATFL injury were enrolled in the study.According to different treatment methods,43 patients with suture anchor repair were used as anchor group,and 37 patients with modified open Brostr9m repair were included in Brostr9m group.The perioperative indicators and pain status before surgery and at 1 week,1 month,3 months and 1 year after surgery,as well as ankle function and ankle activity before surgery and at 1 year after surgery,were compared between the two groups,and the complications were recorded.Results The weight-bearing time and return-to-exercise time in anchor group were significantly shorter than those in Brostr9m group(P<0.05).At 1 week,1 month,3 months and 1 year after surgery,the pain VAS score in the two groups was decreased gradually compared with that before surgery,and the VAS scores in anchor group at 1 week and 1 month after surgery were significantly lower than those in Brostr9m group(P<0.05).The AOFAS ankle scale score,Tegner score and Kofoed ankle function score in both groups were significantly increased at 1 year after surgery compared with those before surgery(P<0.05),and the above scores were significantly higher in anchor group than those in Brostr9m group(P<0.05).At 1 year after surgery,the dorsiflexion angle and plantar flexion angle in both groups were enhanced significantly,while the talus inclination and talus anterior displacement were declined significantly compared with them before surgery,and the differences between the two groups were statistically significant(P<0.05).The total incidence rate of complications in anchor group was significantly lower than that in Brostr9m group(P<0.05).Conclusion Suture anchor repair has more advantages in relieving pain,improving ankle function and activity,promoting reh

关 键 词：踝关节不稳 距腓前韧带损伤 带线锚钉修复 改良开放式Brostr9m修复 踝关节功能 康复 

分 类 号：R684.7[医药卫生—骨科学]