Brostrom手术结合关节镜对踝关节外侧不稳定合并踝关节内病变的治疗

外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (4): 252-256.

Brostrom手术结合关节镜对踝关节外侧不稳定合并踝关节内病变的治疗

黄维庆¹,杨云峰²,俞光荣³,李兵³,周海超¹

1. 上海市同济医院
2. 上海市同济医院同康楼
3. 上海市同济医院，同济大学附属同济医院

收稿日期:2016-07-12 修回日期:2016-10-04 出版日期:2016-12-28 发布日期:2017-02-17
通讯作者: 杨云峰 E-mail:dr.yangyf@hotmail.com

Combination of Brostrom procedure and ankle arthroscopic for lateral ankle instability associated with intra-articular lesions

Received:2016-07-12 Revised:2016-10-04 Online:2016-12-28 Published:2017-02-17

摘要/Abstract

摘要： 【摘要】目的：探讨Brostrom手术结合关节镜对踝关节外侧不稳定合并踝关节内病变治疗的疗效。方法：2010 年12月至2014 年12月，本院采用Brostrom手术结合关节镜对踝关节外侧不稳定合并踝关节内病变的32例患者进行治疗，21例患者获得随访。采用AOFAS踝-后足评分评价术前，术后3个月、6个月、12个月及18个月的临床疗效。结果：术中通过踝关节镜发现19例（90.5%）患者有合并踝关节内病变，其中滑膜炎12例（63.2%）、软骨损伤6例（31.6%）、距骨骨赘形成4例（21.1%）、软组织嵌顿3例（15.8%）以及胫腓下联合分离1例（5%）；术前AOFAS评分为51.31±17.19，术后随访3个月评分为77.40±9.99，6个月评分91.55±6.91，12个月评分96.46±5.30，18个月评分97.15±3.08。结论： Brostrom手术结合关节镜对踝关节外侧不稳定合并踝关节内病变的治疗有良好的临床效果。

关键词: 踝关节, 关节不稳定, 关节镜, 韧带

Abstract: [Abstract]Objective To evaluate the surgical outcome of Brostrom procedure assisted with arthroscopic. Method This is a retrospective study involving 32 patients who underwent Brostrom procedure assisted with arthroscopic for lateral ankle instability at Tongji Hospital, 21 patient is completed follow-up from December 2010 to December 2014. The patients consisted of 16 males and 5 females with an average age of 23.5 years. The American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score was used to assess the pain and functional status in preoperative examination and postoperative follow-up at 3 months, 6 months，12 month and 18 months. Results Via Intra-operative ankle arthroscopic we found 19 patients associated with intra-articular lessions, presenting as synovitis in 12 cases，osteochondral lesion in 6 cases, osteophyte formation in 4 cases, soft tissue impingement in 3 cases, and syndesmosis widening in 1 case. The preoperative AOFAS score was 51.31±17.19. The AOFAS score for postoperative follow-up at 3 months was 77.40±9.99，6 months was 91.55±6.91, 12 months was 96.46±5.30, and 18 months was 97.15±3.08. Conclusion The Brostrom procedure assisted with ankle arthroscopic treatment for lateral ankle instability is a safe and effective method offering satisfying surgical outcome.

Key words: Ankle joint, Lateral instability, Arthroscopic surgery, Ligament

黄维庆杨云峰俞光荣李兵周海超. Brostrom手术结合关节镜对踝关节外侧不稳定合并踝关节内病变的治疗[J]. 外科研究与新技术, 2016, 5(4): 252-256.

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