| 全踝关节镜下免打结锚钉修复距腓前韧带的疗效分析 |
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投稿时间：2022-08-03
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| 作者 | Author | 单位 | Address | E-Mail |
| 王成林 |
WANG Cheng-lin |
武汉市协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Department of Orthopaedics, Union Jiangnan Hospital of Wuhan City, The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
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| 杨俊忠 |
YANG Jun-zhong |
武汉市协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Department of Orthopaedics, Union Jiangnan Hospital of Wuhan City, The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
jimmy811106@163.com |
| 雷宜松 |
LEI Yi-song |
武汉市协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Department of Orthopaedics, Union Jiangnan Hospital of Wuhan City, The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
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| 万玲玲 |
WAN Ling-ling |
武汉市协和江南医院 江夏区第一人民医院骨科, 湖北 武汉 430200 |
Department of Orthopaedics, Union Jiangnan Hospital of Wuhan City, The First People's Hospital of Jiangxia District, Wuhan 430200, Hubei, China |
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| 期刊信息：《中国骨伤》2023年，第36卷，第8期，第777-781页 |
| DOI：10.12200/j.issn.1003-0034.2023.08.015 |
| 基金项目: |
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中文摘要:
目的：探讨全踝关节镜下采用免打结锚钉修复距腓前韧带治疗慢性踝关节外侧不稳的临床疗效。
方法：自2018年4月至2021年8月,对24例采用全踝关节镜下免打结锚钉修复距腓前韧带治疗的慢性踝关节外侧不稳患者进行回顾性分析,其中男16例,女8例;年龄22~42(28.6±5.8)岁;受伤至手术时间6~10(7.7±1.3)个月。比较手术前后美国踝与足关节协会(American Orhopaedic Foot and Ankle Society,AOFAS)踝与后足功能评分、视觉模拟疼痛评分(visual analogue scale,VAS)、距骨倾斜角及距骨前移距离变化情况。
结果：所有患者获得随访,时间8~12(10.20±1.14)个月。伤口均Ⅰ期愈合,未出现伤口感染,神经损伤及踝关节外侧不稳等其他并发症。AOFAS评分由术前(52.79±8.96)分提高到术后6个月(93.00±4.01)分,其中优23例,良1例;VAS由术前(5.50±0.98)分下降到术后6个月(1.04±0.80)分(P<0.05);距骨倾斜角由术前(9.16±2.09)°下降到术后3个月(3.10±1.72)°(P<0.05);距骨前移距离由术前(8.80±2.55) mm下降到术后3个月(2.98±1.97) mm (P<0.05)。末次随访24例患者行踝关节抽屉试验及内翻试验均为阴性。
结论：全踝关节镜下采用免打结锚钉技术修复距腓前韧带治疗慢性踝关节外侧不稳创伤小,并发症少,安全可靠,踝关节功能恢复好。 |
| 【关键词】慢性踝关节不稳 踝关节镜 免打结锚钉 |
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| Knot-free anchor repair of anterior talofibular ligament under total ankle arthroscopy |
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ABSTRACT
Objective To explore clinical effect of repairing anterior talofibular ligament with knot-free anchors under total ankle arthroscopy in treating chronic lateral ankle instability.
Methods From April 2018 to August 2021,24 patients with chronic lateral ankle instability were treated with knot-free anchors under total ankle arthroscopy to repair anterior talofibular ligament,including 16 males and 8 females,aged from 22 to 42 years old with an average of(28.6±5.8) years old;the time from injury to opertaion ranged from 6 to 10 months with an average of(7.7±1.3) months. Preoperative and postoperative American Orhopaedic Foot and Ankle Society (AOFAS) score,visual analogue scale (VAS),talar tilt,anterior talar translation(ATT) were recorded and compared.
Results All patients were followed up from 10 to 12 months with an average of (10.2±1.14) months. Incision were healed at stageⅠ,and no infection,nerve injury and lateral ankle instability occurred. AOFAS score improved from(52.79±8.96) before opertaion to (93.00±4.01) at 6 months after operation,23 patients got excellent result and 1 good;VAS decreased from (5.50±0.98) before opertaion to (1.04±0.80) at 6 months after operation(P<0.05);talar tilt decreased from(9.16±2.09)° to (3.10±1.72)° at 3 months after operation(P<0.05);ATT decreased from(8.80±2.55) mm to (2.98±1.97) mm at 3 months after operation(P<0.05). Twenty-four patients drawer test and varus-valgus rotation wer negative.
Conclusion Repairing anterior talofibular ligament with knot-free anchors under total ankle arthroscopy for the treatment of chronic lateral ankle instability has advantages of less trauma,less complications safe and reliable,and good recovery of ankle joint function. |
| KEY WORDS Chronic ankle instability Ankle arthroscopy Knot-free anchor |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王成林,杨俊忠,雷宜松,万玲玲.全踝关节镜下免打结锚钉修复距腓前韧带的疗效分析[J].中国骨伤,2023,36(8):777~781 |
| 英文格式: | WANG Cheng-lin,YANG Jun-zhong,LEI Yi-song,WAN Ling-ling.Knot-free anchor repair of anterior talofibular ligament under total ankle arthroscopy[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(8):777~781 |
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