| 李宝,李灏坤,刘林林,等.全镜下外踝韧带缝线增强修补术在训练伤致慢性踝关节不稳治疗中的应用.骨科,2023,14(4): 343-346. |
| 全镜下外踝韧带缝线增强修补术在训练伤致慢性踝关节不稳治疗中的应用 |
| Application of Suture Augmentation Repair Surgery in the Treatment of Chronic Ankle Instability Caused by Training Injury |
| 投稿时间：2023-02-26 |
| DOI：10.3969/j.issn.1674-8573.2023.04.009 |
| 中文关键词: 关节镜 踝关节 慢性踝关节不稳 距腓前韧带 军事训练伤 加速康复 |
| 英文关键词: Arthroscopy Ankle Chronic ankle instability Anterior talofibular ligament Military training injury Enhanced recovery after surgery |
| 基金项目:军队护理创新与培育专项计划项目（2121HL053） |
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| 中文摘要: |
| 目的 探讨全镜下外踝韧带缝线增强修补术在军事训练伤所致慢性踝关节不稳治疗中应用的临床疗效。方法 回顾性分析2019年1月至2020年1月经中国人民解放军北部战区总医院诊治的42例慢性踝关节不稳病人的临床资料，男39例，女3例，其中左踝29例，右踝13例，年龄为（30.55±6.84）岁（19~43岁）。全部病例均于我院行关节镜下外踝韧带手术，手术方式采用缝线增强修补方案。记录病人术前和术后6、12个月的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、踝关节功能Karlsson评分、Tenger运动水平评分、疼痛视觉模拟量表（visual analogue scale，VAS）评分和术后不良反应发生情况。结果 病人随访时间为（13.16±3.22）个月，术后6、12个月AOFAS评分［（65.66±5.07）分、（72.87±4.23）分］、Karlsson评分［（71.46±6.53）分、（83.96±5.28）分］、Tenger评分［（6.14±1.01）分、（7.85±0.88）分］、VAS评分［（2.71±0.87）分、（1.68±0.70）分］均较术前［（52.87±6.24）分、（53.80±7.20）分、（4.15±0.91）分、（5.29±1.25）分］明显改善（P＜0.05），随访期间病人未出现神经损伤、关节内感染、脱钉等严重不良反应。结论 关节镜下外踝韧带缝线增强修补术治疗慢性踝关节不稳的短期疗效满意且无严重不良反应，推荐临床中应用。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of suture augmentation repair in the treatment of chronic ankle instability caused by military training injury. Methods Forty-two patients with chronic ankle instability diagnosed from January 2019 to January 2020, including 39 males and 3 females, 29 left ankles and 13 right ankles, aged (30.55±6.84) years old (19-43 years old) underwent arthroscopic lateral malleolus ligament surgery in our hospital. The preoperative and postoperative American Orthopaedic Foot and Ankle Society (AOFAS) score, Karlsson score, Tenger score, visual analogue scale (VAS) score, and postoperative adverse reactions were recorded at 6th and 12th month after surgery. Results The follow-up period was (13.16±3.22) months. AOFAS score (65.66±5.07, 72.87±4.23), Karlsson score (71.46±6.53, 83.96±5.28), Tenger score (6.14±1.01, 7.85±0.88), VAS score (2.71±0.87, 1.68±0.70) at 6th and 12th months after surgery were significantly improved as compared with those preoperation (52.87±6.24, 53.80±7.20, 4.15±0.91, 5.29±1.25) (P＜0.05). The patients had no serious adverse effects during the follow-up period, such as nerve injury, intra-articular infection or de-staple. Conclusion Arthroscopic suture enhancement repair in the treatment of chronic ankle instability is satisfactory and no serious adverse effects occurred, which is recommended for clinical application. |
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