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踝关节镜下微骨折手术治疗距骨骨软骨损伤

, PP. 211-214

Keywords: 关节镜,,距骨,软骨

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Abstract:

目的评价踝关节镜下微骨折手术治疗距骨骨软骨损伤的疗效。方法回顾分析2005年7月至2012年8月瑞金医院骨科采用踝关节镜下微骨折方法治疗距骨骨软骨损伤的163例患者临床资料,其中男性79例,女性84例,年龄18~72(38.6±14.2)岁。分别采用疼痛视觉模拟评分(VAS)和美国足踝医师协会后足与踝关节评分(AOFASHAscore)对患者术前、术后12个月的疼痛情况和功能进行评价,部分患者在术后12个月随访时通过核磁共振影像对距骨软骨进行评价。结果94例患者获得随访,随访时间(22.8±10.3)个月。VAS从术前的(4.51±0.84)分下降到术后的(0.98±0.90)分;AOFASHA评分从术前的平均75分提高到术后的平均91分。25例患者记录了术后核磁共振影像,软骨修复情况均较术前影像有改善。结论踝关节镜下微骨折手术治疗距骨骨软骨损伤简单、安全,效果可靠、满意。

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