[1]阮鹏飞,刘旺鑫,季卫锋.踝关节镜下清理术治疗前踝撞击综合征[J].中医正骨,2021,33(09):65-68.
　RUAN Pengfei,LIU Wangxin,JI Weifeng.Ankle arthroscopic debridement for treatment of anterior ankle impingement syndrome[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(09):65-68.
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踝关节镜下清理术治疗前踝撞击综合征()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年09期
页码:
65-68
栏目:
临床报道
出版日期:
2021-09-20

文章信息/Info

Title:
Ankle arthroscopic debridement for treatment of anterior ankle impingement syndrome
作者:
阮鹏飞1; 刘旺鑫1; 季卫锋2
(1.浙江中医药大学第一临床医学院,浙江 杭州 310053; 2.浙江省中医院,浙江 杭州 310006)
Author(s):
RUAN Pengfei; LIU Wangxin; JI Weifeng
关键词:
踝关节;  关节镜检查;  骨赘;  撞击综合征
摘要:
目的:观察踝关节镜下清理术治疗前踝撞击综合征的临床疗效和安全性。方法:2017年10月至2020年10月,采用踝关节镜下清理术治疗前踝撞击综合征患者20例。男13例,女7例。年龄25～60岁,中位数32.5岁。左侧8例,右侧12例。均有不同程度的足踝扭伤史。临床表现为踝关节前外侧或前内侧疼痛、踝关节周围肿胀、踝关节背伸受限,踝关节撞击试验阳性。均接受3个月以上非手术治疗。均无明显踝关节脱位或骨关节炎征象。记录患侧踝关节活动度,采用美国足与踝关节协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足功能评分和Tegner活动评分评价综合疗效,随访观察并发症发生情况。结果:所有患者均获3个月随访。踝关节背伸活动度,术前2.65°±4.79°、术后3个月13.65°±4.52°; 踝关节跖屈活动度,术前49.25°±5.71°、术后3个月49.60°±5.38°。AOFAS评分,术前(63.05±7.72)分、术后3个月(89.60±4.16)分; Tegner活动评分,术前(2.05±0.76)分、术后3个月(4.95±0.95)分。均未发生切口感染和神经、肌腱、韧带损伤等并发症。结论:采用踝关节镜下清理术治疗前踝撞击综合征,能够改善踝关节活动度,恢复踝关节功能,且安全性高。

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备注/Memo

备注/Memo:
通讯作者:季卫锋 E-mail:jiweifeng1230@163.com
更新日期/Last Update: 1900-01-01