| 镜下内侧双通道磨除跟骨骨刺松解足底跖筋膜治疗跟痛症 |
| Treatment of calcaneal pain was treated by arthroscopy internal double-channel grinding of calcaneal bone spurs and relaxation of plantar fascia |
| 投稿时间：2024-04-26 |
| DOI：10.3969/j.issn.1672-5972.2024.04.010 |
| 中文关键词: 关节镜 内侧双通道 跟骨骨刺 跟痛症 |
| 英文关键词:Arthroscopy Internal double-channel Calcaneal bone spurs Calcaneodynia |
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| 中文摘要: |
| 目的 探讨镜下内侧双通道磨除跟骨骨刺松解足底跖筋膜治疗跟痛症的临床疗效。方法 回顾性分析长江大学附属荆州医院2021年12月至2022年12月接受全镜下内侧双通道磨除跟骨骨刺松解足底跖筋膜治疗跟痛症30例患者的临床资料。其中，男12例，女18例；年龄50 ～ 70岁，平均（55.3±5.41）岁；左足17例，右足13例。术后定期随访，记录并比较术前与末次随访时患者觉模拟量表（VAS）评分、美国足踝外科协会后足评分（AOFAS-AH）。结果 30例患者获得随访，随访时间10 ～ 12个月，平均（10.9±0.82）个月。所有患者均未出现跟骨骨刺复发、足部手术区重要血管或神经损伤等并发症。末次随访时患者的足跟痛、行走功能及日常活动明显改善，VAS评分为（0.16±0.38）分，较术前（6.10±0.80）分显著降低；AOFAS-AH评分为（97.23±2.93）分，较术前（59.40±7.27）分明显上升，差异有统计学意义（P＜0.05）。结论 镜下内侧双通道磨除跟骨骨刺松解足底跖筋膜是一种安全、有效治疗跟痛症的方法，近期疗效较好。 |
| 英文摘要: |
| Objective To investigate the clinical effect of arthroscopic calcaneal spur removal and plantar fascia relaxation.Methods The clinical data of 30 patients with calcaneal pain who underwent complete arthroscopic internal double-channel calcaneal spur removal and plantar fascia release in Jingzhou Hospital Affiliated to Yangtze University from December 2021 to December 2022 were retrospectively analysed, including 12 males and 18 females, aged 50-70 years, with a mean age of (55.3±5.41) years, 17 left foot and 13 right foot, who underwent complete endoscopic medial double-channel calcaneal bone spur removal and plantar fascia release treatment. Pre-operative and final follow-up scores were recorded and compared with patient visual analogue scale (VAS) scores and the American Society for Foot and Ankle Surgery Posterior Foot Score (AOFAS-AH).Results Twenty patients were followed up for 10 to 12 months, with an average of (10.9±0.82) months. There was no recurrence of calcaneal bone spurs or injury of important blood vessels or nerves in the surgical area of the foot in any of the patients. At the last follow-up, patients' heel pain, walking function and activities of daily living were significantly improved, and the VAS score was (0.16±0.38), which was significantly lower than the preoperative score (6.10±0.80). The AOFAS-AH score was (97.23±2.93) points, which was significantly higher than that before operation (59.40±7.27) points, and the difference was statistically significant (P<0.05).Conclusion Arthroscopic removal of calcaneal bone spurs and release of the plantar fascia by internal double-channel grinding is a safe and effective method for the treatment of heel pain with good short-term efficacy. |
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