[1]徐涛,周明,侯慧铭,等.关节镜下带骨膜髂骨移植联合富血小板血浆凝胶注射治疗HeppleV型距骨骨软骨损伤[J].中医正骨,2024,36(05):76-80.
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关节镜下带骨膜髂骨移植联合富血小板血浆凝胶注射治疗HeppleV型距骨骨软骨损伤()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年05期
页码:
76-80
栏目:
临床报道
出版日期:
2024-05-20

文章信息/Info

作者:
徐涛周明侯慧铭邹文龚礼胡梁深
南昌市洪都中医院,江西 南昌 330038
关键词:
踝损伤 距骨 软骨 骨囊肿 髂骨 骨移植 富含血小板血浆
摘要:
目的:观察关节镜下带骨膜髂骨移植联合富血小板血浆(platelet-rich plasma,PRP)凝胶注射治疗HeppleV型距骨骨软骨损伤(osteochondral lesion of the talus,OLT)的临床疗效和安全性。方法:2019年1月至2022年8月,采用关节镜下带骨膜髂骨移植联合PRP凝胶注射治疗HeppleV型OLT患者24例。男14例,女10例。年龄16~55岁,中位数32岁。病程6~18个月,中位数14个月。测量手术前后的踝关节活动度。采用疼痛视觉模拟量表(visual analogue scale,VAS)评分评价足部疼痛情况,采用美国足与踝关节协会(American Orthopedic Foot and Ankle Society,AOFAS)踝与后足评分标准评价踝关节功能。术后随访观察并发症发生情况。结果:所有患者均获随访,随访时间12~30个月,中位数20个月。术后1例患者出现小腿肌间静脉血栓,经对症治疗后好转。所有患者均未出现神经损伤和切口感染。踝关节活动度,术前42.16°±5.88°、术后1个月52.28°±7.24°、术后3个月58.44°±8.46°、末次随访时62.36°±10.24°。足部疼痛VAS评分,术前(5.88±1.48)分、术后1个月(3.64±1.20)分、术后3个月(2.12±0.88)分、末次随访时(1.24±0.68)分。AOFAS踝与后足评分,术前(52.22±9.46)分、术后1个月(78.28±7.24)分、术后3个月(84.48±6.68)分、末次随访时(90.44±6.44)分。结论:关节镜下带骨膜髂骨移植联合PRP凝胶注射治疗HeppleV型OLT,可以增加踝关节活动范围、减轻足部疼痛、促进踝关节功能恢复,且安全性较高。

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备注/Memo

备注/Memo:
基金项目:江西省中医药管理局临床研究基地建设项目(赣中医药科教字〔2022〕8号)
更新日期/Last Update: 1900-01-01