[1]汪青,黄昊强,钱胤华,等.关节镜下改良Brostr?m-Gould术结合足印区重建治疗慢性踝关节外侧不稳[J].中医正骨,2023,35(07):72-75,80.
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关节镜下改良Brostr?m-Gould术结合足印区重建治疗慢性踝关节外侧不稳()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期数:
2023年07期
页码:
72-75,80
栏目:
临床报道
出版日期:
2023-07-20

文章信息/Info

作者:
汪青1; 黄昊强1; 钱胤华1; 孙斌峰1; 徐锋1; 姜兴华1; 钱平康1; 桂鉴超2
(1.昆山市中医医院,江苏 昆山 215300; 2.南京医科大学附属南京医院,江苏 南京 210029)
关键词:
踝损伤;  外侧韧带; 踝;  关节镜检查;  改良Brostr?m-Gould术;  足印区重建
摘要:
目的:观察关节镜下改良Brostr?m-Gould术结合足印区重建治疗慢性踝关节外侧不稳的临床疗效和安全性。方法:2018年5月至2022年1月,采用关节镜下改良Brostr?m-Gould术结合足印区重建治疗慢性踝关节外侧不稳患者30例。男14例,女16例。年龄19～61岁,中位数36岁。合并距骨软骨损伤11例,合并跟腓韧带损伤1例。病程7～23个月,中位数12个月。记录术前及末次随访时患者踝关节疼痛视觉模拟量表(visual analog scale,VAS)评分、美国足与踝关节协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足评分及Karlsson评分,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 12～27个月,中位数18个月。切口均甲级愈合。踝关节疼痛VAS评分,术前(4.43±1.00)分、末次随访时(1.27±0.64)分; AOFAS 踝与后足评分,术前(55.90±6.57)分、末次随访时(91.10±2.52)分; Karlsson评分,术前(42.13±1.95)分、末次随访时(80.10±3.20)分。均未发生踝关节感染、神经血管损伤等并发症。结论:关节镜下改良Brostr?m-Gould术结合足印区重建治疗慢性踝关节外侧不稳,能够缓解踝关节疼痛、改善踝关节功能,且安全性高。

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备注/Memo

备注/Memo:
基金项目:昆山高层次医学人才计划项目(昆卫〔2019〕6号) 通讯作者:钱平康 E-mail:qianpk245@163.com
更新日期/Last Update: 1900-01-01