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-  2017 

前距腓韧带修复术治疗踝关节外侧不稳定疗效分析

DOI: doi:10.7507/1002-1892.201611022

Keywords: 踝关节不稳定, 韧带修复, 跗骨窦综合征

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Abstract:

目的 探讨前距腓韧带修复术治疗踝关节外侧不稳定的临床疗效及合并跗骨窦综合征对疗效的影响。 方法 回顾分析 2013 年 12 月—2014 年 10 月,采用前距腓韧带修复术治疗的 47 例踝关节外侧不稳定患者临床资料。其中,32 例未合并跗骨窦综合征(A 组);15 例合并跗骨窦综合征(B 组),同时行跗骨窦清理术。两组患者性别、年龄、病程、侧别以及术前美国矫形足踝协会(AOFAS)评分、Karlsson 评分、Tegner 运动功能评分等一般资料比较,差异均无统计学意义(P>0.05),具有可比性。 结果 两组切口均Ⅰ期愈合,无早期手术相关并发症发生。患者均获随访,A 组随访时间 20~31 个月,平均 26.0 个月;B 组随访时间 20~31 个月,平均 24.7 个月。所有患者踝关节肿胀均消失,关节活动良好,恢复正常行走。末次随访时,两组 AOFAS 评分、Karlsson 评分、Tegner 运动功能评分均较术前明显提高,差异有统计学意义(P<0.05);组间比较差异无统计学意义(P>0.05)。随访期间无踝关节不稳复发。 结论 无论是否合并跗骨窦综合征,前距腓韧带修复术治疗踝关节外侧不稳定均能获得满意疗效

References

[1]  1. ?Gribble PA, Terada M, Beard MQ, et al. Prediction of lateral ankle sprains in football players based on clinical tests and body mass index. Am J Sports Med, 2016, 44(2): 460-467.
[2]  2. Hubbard TJ, Hertel J. Mechanical contributions to chronic ankle instability. Spots Med, 2006, 36(3): 263-277.
[3]  3. Lui TH. Modified arthroscopic Brostr?m procedure. Foot Ankle Surg, 2015, 21(3): 216-219.
[4]  7. Maffulli N, Del Buono A, Maffulli GD, et al. Isolated anterior talofibular ligament Brostr?m repair for chronic lateral ankle instability: 9 -year follow up. Am J Sports Med, 2013, 41(4): 858-864.
[5]  8. Acevedo JI, Mangone P. Arthroscopic brostrom technique. Foot Ankle Int, 2015, 36(4): 465-473.
[6]  9. Takao M, Matsui K, Stone JW, et al. Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle. Knee Surg Sports Traumatol Arthrosc, 2016, 24(4): 1003-1006.
[7]  10. Ahn JH, Lee SK, Kim KJ, et al. Subtalar arthroscopic procedures for the treatment of subtalar pathologic conditions: 115 consecutive cases. Orthopedics, 2009, 32(6): 891.
[8]  11. Lee KB, Bai LB, Park JG, et al. Efficacy of MRI versus arthroscopy for evaluation of sinus tarsi syndrome. Foot Ankle Int, 2008, 29(9): 1111-1116.
[9]  12. Pieters RS, Galvin J. The rare presentation of sinus tarsi syndrome secondary to metastasis in a patient with endometrial carcinoma. Radiol Case Rep, 2015, 6(2): 414.
[10]  4. Brown CA, Hurwit D, Behn A, et al. Biomechanical comparison of an all-soft suture anchor with a modified Brostr?m-Gould suture repair for lateral ligament reconstruction. Am J sports Med, 2014, 42(2): 417-422.
[11]  5. 陈冬, 姚建华, 黄炎, 等. 改良Brostrom法联合踝关节镜治疗踝关节扭伤致慢性踝关节不稳的研究. 临床和实验医学杂志, 2015, 14(6): 497-499.
[12]  6. 杨渝勇, 曹国永, 邓淼, 等. 改良的 Brostr?m 法联合踝关节镜治疗训练伤所致慢性踝关节不稳. 重庆医学, 2014, 43(23): 3063-3065.
[13]  13. Ayd?ng?z ü, Melih Topcuo?lu O, G?rmez A, et al. Accessory anterolateral talar facet in populations with and without symptoms: prevalence and relevant associated ankle MRI findings. American Journal of Roentgenology, 2016, 207(4): 846-851.
[14]  14. Kuwada GT. Long-term retrospective analysis of the treatment of sinus tarsi syndrome. J Foot Ankle Surg, 1994, 33(1): 28-29.
[15]  15. 桂鉴超, 王黎明, 蒋逸秋, 等. 跗骨窦综合征的关节镜下手术治疗. 中华创伤杂志, 2010, 26(12): 1078-1081.
[16]  16. 宋卫东, 陈炳豪, 刘文宙, 等. 应用距下关节镜诊治跗骨窦综合征. 中华关节外科杂志(电子版), 2014, 8(4): 415-418.
[17]  17. Oloff LM, Schulhofer SD, Bocko AP. Subtalar joint arthroscopy for sinus tarsi syndrome: a review of 29 cases. J Foot Ankle Surg, 2001, 40(2): 152-157.
[18]  18. Lee KB, Bai LB, Song EK, et al. Subtalar arthroscopy for sinus Tarsi syndrome: arthroscopic findings and clinical outcomes of 33 consecutive cases. Arthroscopy, 2008, 24(10): 1130-1134.

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