苏博源;易疏云;易刚;张磊;程翰文;王俊秋;

• 1:东莞市中医院骨科
• 2:南方医科大学南方医院增城分院
• 3:西南医科大学附属中医医院骨伤科
• 4:西南医科大学临床医学院

摘要(Abstract)：

[目的]分析全关节镜下距腓前韧带(ATFL)锚钉修复在踝关节外侧不稳(LIA)治疗中的临床效果。[方法]对本院2014年6月～2017年6月因LAI行全关节镜下ATFL锚钉修复的71例患者进行回顾性分析,年龄19～55岁,平均(38.68±14.23)岁。分析所有患者围手术期资料,采用美国足踝外科协会(AOFAS)、卡尔森踝关节功能(KAF)和日本足踝外科学会(JSSF)评分评估临床结果,行踝关节应力位X线片检查,测量距骨倾斜角和距骨前移。[结果] 71例患者手术均完成顺利,未出现神经、血管损伤等并发症。术中关节镜下检查时发现5例软骨缺损患者,骨赘患者1例,软骨缺损较轻1例患者进行关节镜清创,其余4例患者予以微骨折处理,对于骨赘患者则予以磨除。患者未出现伤口感染,术后切口均甲级愈合。平均随访时间(18.14±3.27)个月,随访期间71例患者均未出现踝关节不稳及其他并发症。随时间的逐渐延长,71例患者的AOFAS评分、KAF评分、JSSF量表评分均显著增加,不同时间点比较,差异均具统计学意义(P<0.05)。影像测量方面:距骨倾斜角由术前(9.92±3.25)°恢复至末次随访时(2.91±0.78)°,差异有统计学意义(P<0.05);距骨前移由术前(9.15±2.67) mm恢复至末次随访时(2.86±0.48) mm,差异有统计学意义(P<0.05)。[结论]全关节镜下ATFL锚钉修复作为一种微创技术,手术时间短、出血量少,临床效果良好。

关键词(KeyWords)： 踝关节不稳;距腓前韧带;关节镜;锚钉

Abstract:

Keywords:

基金项目(Foundation): 四川省中医药管理局中医药科研专项项目(编号：2018YY003);; 泸州市人民政府-西南医科大学科技战略合作项目(编号：2018LZXNYD-ZK43);; 泸州市院士工作站在建项目(编号：20180101);; 泸州市科技创新苗子培育计划项目(编号：2018-RCM-72)

作者(Author): 苏博源;易疏云;易刚;张磊;程翰文;王俊秋;

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DOI:

参考文献(References)：

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