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[1]杜俊鋒,陳衛(wèi)東,梁林,等.踝關(guān)節(jié)鏡下韌帶解剖重建術(shù)治療距腓前韌帶距骨側(cè)斷裂[J].中醫(yī)正骨,2023,35(12):65-68.
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踝關(guān)節(jié)鏡下韌帶解剖重建術(shù)治療距腓前韌帶距骨側(cè)斷裂()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年12期
頁碼:
65-68
欄目:
臨床報(bào)道
出版日期:
2023-12-20

文章信息/Info

作者:
杜俊鋒陳衛(wèi)東梁林余春華朱仰義
紹興市上虞人民醫(yī)院,浙江 紹興 312300
關(guān)鍵詞:
踝損傷 外側(cè)韌帶 關(guān)節(jié)鏡檢查 韌帶解剖重建
摘要:
目的:觀察踝關(guān)節(jié)鏡下韌帶解剖重建術(shù)治療距腓前韌帶距骨側(cè)斷裂的臨床療效和安全性。方法:2019年1月至2023年1月,采用踝關(guān)節(jié)鏡下韌帶解剖重建術(shù)治療距腓前韌帶距骨側(cè)斷裂患者15例。男10例,女5例。年齡18~30歲,中位數(shù)25歲。均為新鮮閉合性損傷。左側(cè)7例,右側(cè)8例。8例合并距骨止點(diǎn)處撕脫骨折。分別于術(shù)前和術(shù)后3個月,采用疼痛視覺模擬量表(visual analogue scale,VAS)評價(jià)踝關(guān)節(jié)疼痛情況,采用美國足與踝關(guān)節(jié)協(xié)會(American Orthopaedic Foot and Ankle Society,AOFAS)踝與后足評分標(biāo)準(zhǔn)評價(jià)踝關(guān)節(jié)功能; 于術(shù)前和末次隨訪時(shí),采用Tegner運(yùn)動水平評級標(biāo)準(zhǔn)評價(jià)患者運(yùn)動能力。隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:本組15例,手術(shù)均順利完成。所有患者均獲隨訪,隨訪時(shí)間6~16個月,中位數(shù)12個月。踝關(guān)節(jié)疼痛VAS評分,術(shù)前(6.27±1.53)分,術(shù)后3個月(0.73±0.70)分。AOFAS踝與后足評分,術(shù)前(34.00±9.93)分,術(shù)后3個月(93.67±3.29)分。Tegner運(yùn)動水平評級,術(shù)前1~3級,中位數(shù)2級; 末次隨訪時(shí)5~6級,中位數(shù)6級。均未發(fā)生切口感染、皮膚壞死、韌帶再斷裂等并發(fā)癥。結(jié)論:踝關(guān)節(jié)鏡下韌帶解剖重建術(shù)治療距腓前韌帶距骨側(cè)斷裂,能夠緩解踝關(guān)節(jié)疼痛,改善踝關(guān)節(jié)功能與運(yùn)動能力,且安全性高。

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更新日期/Last Update: 1900-01-01