文章摘要
程强,骆虎,孙文爽,等.富血小板血浆联合改良Broström-Gould法修复距腓前韧带的早期临床疗效.骨科,2023,14(2): 172-176.
富血小板血浆联合改良Broström-Gould法修复距腓前韧带的早期临床疗效
Early Clinical Effectiveness of Platelet-rich Plasma after Modified Broström-Gould Method for Repairing Anterior Talofibular Ligament
投稿时间:2022-10-10  
DOI:DOI:10.3969/j.issn.1674-8573.2023.02.015
中文关键词: 改良Broström法  距腓前韧带损伤  富血小板血浆  加速康复
英文关键词: Modified Broström method  Anterior talofibular ligament injury  Platelet-rich plasma  Enhanced recovery after surgery
基金项目:军队医学科技青年培育计划(18QNP048);中国博士后科学基金(2017M623359,2018T111167);江苏省卫健委老年健康科研项目(LKZ2022011)
作者单位E-mail
程强 中国人民解放军东部战区总医院骨科南京 210000  
骆虎 中国人民解放军东部战区总医院骨科南京 210000  
孙文爽 中国人民解放军东部战区总医院骨科南京 210000  
孟嘉 中国人民解放军东部战区总医院骨科南京 210000 michaelmengjia@163.com 
包倪荣 中国人民解放军东部战区总医院骨科南京 210000  
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中文摘要:
      目的 观察自体富血小板血浆(platelet-rich plasma,PRP)联合改良Broström-Gould法修复距腓前韧带(anterior talofibular ligament,ATFL)的早期临床疗效。方法 回顾性分析我院2020年3月至2022年2月收治的37例ATFL损伤病人的临床资料,采用改良Broström-Gould法治疗,根据是否接受PRP治疗分为对照组(14例)和PRP组(23例),比较两组术前和术后6周时距骨倾斜角(talar tilt angle,TTA)、美国足踝外科医师协会(American Orthopaedic Foot and Ankle Society,AOFAS)踝与后足功能评分系统评分和疼痛视觉模拟量表(visual analogue scale,VAS)评分。结果 两组病人术后6周AOFAS评分、TTA和VAS评分均优于术前,差异有统计学意义(P<0.05);组间AOFAS评分[(82.3±7.1)分 vs. (85.5±9.2)分]、TTA(3.7°±0.5° vs. 3.5°±0.6°)的差异无统计学意义(t=1.261,P=0.564;t=1.016,P=0.641);VAS评分[(2.8±0.5)分 vs. (0.9±0.2)分]的差异有统计学意义(t=3.857,P=0.028)。结论 自体PRP联合改良Broström-Gould法修复ATFL损伤,能够有效减轻术后疼痛度,有利于加速康复锻炼,值得临床进一步推广。
英文摘要:
      Objective To observe the early clinical effectiveness of autologous platelet rich plasma (PRP) combined with modified Broström-Gould method in repairing anterior talofibular ligament (ATFL). Methods The clinical data of 37 patients with ATFL injury admitted to our hospital from March 2020 to February 2022 were analyzed retrospectively. The patients were treated with modified Broström-Gould method. They were divided into control group (14 cases) and PRP group (23 cases) according to whether they received PRP treatment. The talar tilt angle (TTA), American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hind foot function scoring system score and visual analog scale (VAS) score were compared between the two groups before and 6 weeks after surgery. Results AOFAS score, TTA and VAS score of the two groups at 6th week after operation were better than those before operation, and the difference was statistically significant (P<0.05). There was no statistically significant difference in AOFAS scores [(82.3±7.1) vs. (85.5±9.2)] and TTA [(3.7±0.5)° vs. (3.5±0.6)°] between groups (t=1.261, P=0.564; t=1.016, P=0.641). The difference in VAS score [(2.8±0.5) score vs. (0.9±0.2) score] was statistically significant (t=3.857, P=0.028). Conclusion The combination of PRP and the modified Broström-Gould method to repair ATFL injury can effectively reduce the postoperative pain, which is conducive to accelerating rehabilitation exercise, and is worthy of further clinical promotion.
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