| 陈焜 杨立东 韩正峰 白秋铁 王国栋.腓骨短肌腱外侧韧带重建术治疗慢性踝关节外侧不稳的临床疗效[J].,2015,15(29):5661-5663 |
| 腓骨短肌腱外侧韧带重建术治疗慢性踝关节外侧不稳的临床疗效 |
| Clinical Efficacy of Lateral Collateral Ligament Reconstruction SurgeryCombined with Arthroscopy in the Treatment of Chronic Lateral AnkleInstability |
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| DOI： |
| 中文关键词: 外侧副韧带重建手术 慢性踝关节外侧不稳 关节镜检查 临床疗效 |
| 英文关键词: Lateral collateral ligament reconstruction surgery Chronic lateral ankle instability Arthroscopy |
| 基金项目:国家自然科学基金项目(81071515) |
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| 中文摘要: |
| 目的：研究外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳的临床疗效。方法：选取2012 年7 月-2014 年7
月我院收治的慢性踝关节外侧不稳患者60 例，随机分为研究组和对照组，每组30 例。对照组患者给予保守治疗，研究组患者采
取踝关节镜探查清理联合腓骨短肌腱外侧韧带重建手术进行治疗。应用美国足踝外科裸- 后足功能评分系统(AOFAS)评价两组
患者治疗前后的踝关节功能评分，并比较两组的优良率、复发率以及并发症的发生率。结果：两组治疗前的AOFAS功能评分比较
无统计学差异(P＞0.05)，两组治疗后的AOFAS 功能评分均较治疗前显著升高，且研究组显著高于对照组，差异具体统计学意义
(P＜0.05)。研究组的优良率为96.7％(29/30)，显著高于对照组的73.3％(22/30)；研究组的复发率为0.0％(0/30)，显著低于对照组的
13.3％(4/30)；研究组并发症的发生率为3.3％(1/30)，显著低于对照组的20.0％(6/30)，两组比较差异均具有统计学意义(P＜0.05)。
结论：外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳具有较好的临床疗效，且复发率较低，并发症较少。 |
| 英文摘要: |
| Objective:To study the clinical efficacy of lateral collateral ligament reconstruction surgery combined with
arthroscopy in the treatment of chronic lateral ankle instability.Methods:60 cases of patients with chronic lateral ankle instability were
selected in our hospital fromJuly July 2012 to July 2014 were selected and randomly divided into the study group and the control group,
30 cases in each group. The patients in control group received the conservative treatment, while the patients in the study group were treated
with exploratory arthroscopic ankle cleanup and the peroneus brevis tendon lateral ligament reconstruction surgery. Then the functional
scores of two groups were detected in american bare foot and ankle surgery-hindfoot score system (AOFAS), and the excellent rate, recurrence
rate and incidence rates of complications between two groups were compared.Results:No significant difference was found in
the AOFAS score before treatment between two groups(P>0.05), the AOFAS score after treatment of both groups were significantly higher
than those before treatment, and the AOFAS score of study group was significantly higher than that of the control group (P<0.05); the
excellent rate of study group was 96.7%(29/30), which was significantly higher than that of the control group (73.3%, 22/30), the recurrence
rate of study group was 0.0%(0/30), which was significantly lower than that of the control group(13.3%, 4/30), the incidence rate of
complications of the study group was 3.3%(1/30), which was significantly lower than that of the control group(20.0%, 6/30), and the differences
were statistically significant (P<0.05).Conclusion:Lateral collateral ligament reconstruction surgery combined with arthroscopy
had better clinical efficacy in the treatment of chronic lateral ankle instability, and the recurrence rate was low. |
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