| 蔡培强,邵玉凯,蔡培素,等.微创踝关节融合术治疗足踝创伤性关节炎的疗效观察.骨科,2017,8(1): 16-19,24. |
| 微创踝关节融合术治疗足踝创伤性关节炎的疗效观察 |
| Curative effect of minimally invasive ankle arthrodesis in the treatment of traumatic ankle arthritis |
| 投稿时间：2016-02-26 |
| DOI：10.3969/j.issn.1674-8573.2017.01.005 |
| 中文关键词: 关节镜 踝关节 关节融合术 创伤性关节炎 |
| 英文关键词: Arthroscopes Ankle joint Arthrodesis Traumatic arthritis |
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| 中文摘要: |
| 目的 观察关节镜下微创踝关节融合术治疗足踝创伤性关节炎的疗效。方法 回顾性分析2009年1月至2012年12月在我院接受微创及开放式踝关节融合术的26例创伤性踝关节炎病人的临床资料，按治疗方法不同分为微创组（10例）和开放组（16例），对比两组病人术后6个月及1年的骨性融合率和美国足踝外科医师协会（AOFAS）踝与后足功能评分。结果 术后6个月时，微创组的骨性融合率为80.0%（8/10），高于开放组的31.3%（5/16），差异有统计学意义（χ2=5.850，P=0.016）；术后1年时两组病人全部达到骨性融合。术后6个月，两组病人的AOFAS踝与后足功能评分差异无统计学意义（P＞0.05）；术后1年时，微创组的AOFAS评分为（75.3±2.7）分，明显高于开放组的（68.8±2.5）分，差异有统计学意义（χ2=7.568，P＜0.001）。结论 关节镜下踝关节融合术在提高早期骨性融合率及改善足踝功能方面较开放式踝关节融合术更具优势。 |
| 英文摘要: |
| Objective To observe the curative effect of minimally invasive ankle arthrodesis in the treatment of traumatic ankle arthritis. Methods The clinical data of 26 patients with traumatic anklebone arthritis treated in our hospital from January 2009 to December 2012 were retrospectively analyzed. The patients were divided into minimally invasive group (10 cases) and open technique group (16 cases) according to the treatments. The bony union rate and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score were compared between the two groups. Results At postoperative 6 months, the bony union rate in minimally invasive group was 80.0%, significantly higher than that in open technique group (31.3%) (χ2=5.850, P=0.016). All the patients in the two groups achieved bony union after 1 year. There was no statistically significant difference in AOFAS assessment after 6 months between minimally invasive group and open technique group (P＞0.05). At 1st year after surgery, AOFAS score in minimally invasive group was 75.3±2.7, significantly higher than that in open technique group (68.8±2.5) with the difference being statistically significant (χ2=7.568, P＜0.001). Conclusion The early minimally invasive arthroscopic ankle fusion has a comparative advantage in increasing early union rate and improving the ankle function to open surgery arthrodesis. |
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