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关节镜技术治疗前踝撞击综合征的近期临床随访研究

, PP. 230-233

Keywords: 踝关节,撞击综合征,关节镜

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Abstract:

目的探讨应用关节镜技术对前踝撞击综合征的诊治,评估临床疗效。方法2006年10月至2013年10月本所收治42例前踝撞击综合征患者,应用关节镜对其进行检查和治疗,其中骨性撞击11例,软组织撞击31例。取常规踝关节镜前内、前外通道观察撞击和软骨损伤情况,刨削清理增生肥厚的滑膜组织及纤维瘢痕,磨钻磨削距骨骨赘,清除退变剥脱的软骨碎屑。结果对其中资料完整的40例患者进行随访分析,随访时间平均18(12~31)个月。根据美国足踝外科协会踝-后足评分系统(AOFAS)评价疗效:优19例,良16例,中5例,优良率为87.5%,从术前评分(60.3±7.2)分,提高至随访结束时得分为(87.4±9.5)分,手术前后差异有统计学意义(P<0.05),患者均未发生感染及其他并发症。结论采用关节镜技术治疗前踝撞击综合征,能够对病变进行全面处理,是一项疗效肯定且可重复性高的技术方法。

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