| 关节镜下微骨折治疗距骨骨软骨损伤的临床观察 |
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Received:August 31, 2016
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| 期刊信息：《中国骨伤》2017年30卷，第8期，第751-754页 |
| DOI：10.3969/j.issn.1003-0034.2017.08.014 |
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目的：采用关节镜下清创和微骨折治疗距骨骨软骨损伤，观察其临床效果。
方法：收集自2011年1月至2013年12月就诊的42例距骨骨软骨损伤患者，平均年龄35.9岁，其中男28例，女14例，34例有明确受伤史，MRI显示距骨骨软骨损伤≥ 3级，采用关节镜下清创和微骨折进行治疗。术前、术后1年和术后2年采用美国足踝外科（AOFAS）踝-后足评分系统评估关节功能，术后2年采用MRI检查评估距骨骨软骨恢复情况。
结果：术前MRI诊断3期23例，4期9例，5期10例。按照9宫格分区法，则骨软骨损伤位于4区25例，6区11例，1区4例，3区2例。伴有软骨下骨囊性变8例，均位于4区。采用美国足踝外科（AOFAS）踝-后足评分系统，术后1年73.3±3.9，较术前50.4±7.8明显提高（t=17.018，P=0.00）；术后2年81.1±4.8，较术后1年明显提高（t=8.173，P=0.00）。术后2年复查MRI显示骨髓水肿消失。
结论：采用关节镜下微骨折治疗距骨骨软骨损伤，可以较好地改善踝关节功能。 |
| [关键词]:踝关节 距骨骨软骨损伤 关节镜 微骨折 |
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| Clinical effects of arthroscopic microfracture on osteochondral lesions of the talus |
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Abstract:
Objective: To evaluate the clinical effects of arthroscopic microfracture on osteochondral lesions of the talus.
Methods: Total 42 patients with osteochondral lesions of the talus,who were collected in our department from January 2011 to December 2013. The patients were 35.9 years old on average,including 28 males and 14 females. There were 34 patients who had injury histories. The debridement and microfracture were performed under arthroscopy. The function of ankle was assessed according to AOFAS Ankle Hindfoot Scale. MRI of ankle was checked 2 years postoperatively.
Results: There were 23 cases in stage 3,9 cases in stage 4 and 10 cases in stage 5 in MRI. There were 25 cases on the 4th district,11 cases on the 6th district,4 cases on the 1st district,2 cases on the 3rd district according to 9 districts location and 8 cases of subchondral cyst found on the 4th district. AOFAS Ankle Hindfoot Scale of all patients on the 1st year postoperatively was 73.3±3.9 which was significantly better than 50.4±7.8 preoperatively,and 81.1±4.8 on the 2nd year postoperatively was also significantly better than that on the 1st year postoperatively.
Conclusion: Arthroscopic microfracture for the osteochondral lesions of the talus could have a good clinical effect. |
| KEYWORDS:Ankle joint Osteochondral lesion of talus Arthroscopes Microfracture |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 魏民,刘洋.关节镜下微骨折治疗距骨骨软骨损伤的临床观察[J].中国骨伤,2017,30(8):751~754 |
| 英文格式: | WEI Min,LIU Yang.Clinical effects of arthroscopic microfracture on osteochondral lesions of the talus[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(8):751~754 |
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