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踝关节创伤性关节炎的关节镜治疗
Arthroscopic treatment of traumatic arthritis of ankle joint
  
DOI:
中文关键词:  踝关节  创伤性关节炎  关节镜
英文关键词:Ankle joint  Traumatic arthritis  Arthroscopy
基金项目:
作者单位
许杰1 吴启平1 翟宏利1 李峰1 徐永胜2*  
通讯作者:许杰1 吴启平1 翟宏利1 李峰1 徐永胜2*    
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中文摘要:
      目的 探讨关节镜微创技术治疗踝关节创伤性关节炎的临床疗效。方法 取我院2011年8月至2017年1月32例(32踝)踝关节创伤性关节炎患者进行关节镜手术治疗,伤后至手术时间13-31个月,平均(22.3±8.4)个月,同时在手术中用关节镜探查踝关节继发性病变情况,手术前后按AOFAS足踝评分法进行评定,采用Meislin标准对疗效进行评估,对患者主观感觉,VAS疼痛评分,踝关节活动度进行评估。结果 随访32例患者,平均随访时间7.3月(3-21个月),所有手术患者均无感染、神经损伤、后足僵硬等并发症,AOFAS足踝评分术后较术前有明显提高,术前评分(46.40±4.61)分改善至术后(87.22±4.22)分。VAS视觉疼痛评分由术前7.25±2.30改善至术后2.05±1.35,采用Meislin标准对疗效进行评估,术后踝关节疼痛减轻,踝关节自主活动明显改善,优良率92.18%。结论 关节镜微创技术治疗踝关节创伤性关节炎有良好效果。
英文摘要:
      Objective To investigate the effect of arthroscopic technique in the treatment of traumatic ankle arthritis in clinical. Methods from Aug 2011 to Jan 2017, 32 cases (32 ankle) of traumatic arthritis of ankle joint were treated by arthroscopy. The time from the injury to the operation was 13-31 months, with an average (22.3 + 8.4) months, at the same time, the secondary lesions of ankle joint were detected by arthroscopy. The AOFAS ankle scale was evaluated before and after the operation, Meislin standard was used to evaluate the effect. The patient's subjective perception, VAS pain score, and ankle mobility were assessed. Results 32 patients were followed up, the mean follow-up time was 7.3 months (3-21 months), all surgical patients had no infection, foot stiffness and other complications, postoperative AOFAS ankle score significantly increased compared with the preoperative, the preoperative score (46.40 + 4.61) improved to postoperative (87.22 + 4.22) points, the VAS visual pain score was improved from 7.25 + 2.30 preoperatively to 2.05 + 1.35 postoperatively, using the Meislin standard to evaluate the curative effect, reduce postoperative ankle pain, ankle joint autonomic activities significantly improved, the excellent rate was 92.18%. Conclusion Arthroscopic minimally invasive technique for the treatment of traumatic ankle arthritis has a good effect.
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