关节镜辅助下终末期踝关节结核患者的踝关节融合术
Arthroscopically assisted ankle fusion in patients with end-stage tuberculosis.
作者信息
Tang Kang-lai, Li Qi-hong, Chen Guang-xin, Guo Lin, Dai Gang, Yang Liu
机构信息
Centre for Joint Surgery, Orthopaedics Department, Southwest Hospital, Third Military Medical University, Chongqing, China.
出版信息
Arthroscopy. 2007 Sep;23(9):919-22. doi: 10.1016/j.arthro.2007.04.004.
PURPOSE
Our purpose was to evaluate the clinical outcomes of arthroscopically assisted ankle fusion in patients with end-stage tuberculosis.
METHODS
Ten patients, all with end-stage tuberculosis, were operated on by arthroscopically assisted ankle fusion, and a half-ring sulcated external fixator was used. Partial weight-bearing was started on the fourth day. The clinical results were assessed with the American Orthopaedic Foot & Ankle Society score. Ankle fusion was proved by radiographs.
RESULTS
At the mean follow-up of 23 months, all fusions were healed; the mean time to radiologic healing was 14.5 weeks. The final American Orthopaedic Foot & Ankle Society score was 66 points.
CONCLUSIONS
Arthroscopically assisted debridement and ankle arthrodesis with an external fixator provided a very satisfactory rate of ankle fusion in 10 patients who had no recurrences or other complications.
LEVEL OF EVIDENCE
Level IV, therapeutic case series.
目的
我们的目的是评估关节镜辅助下踝关节融合术治疗终末期踝关节结核的临床疗效。
方法
10例终末期踝关节结核患者接受了关节镜辅助下踝关节融合术，术中使用了半环槽式外固定架。术后第4天开始部分负重。采用美国足踝外科协会评分评估临床疗效。通过X线片证实踝关节融合情况。
结果
平均随访23个月时，所有融合均愈合；影像学愈合的平均时间为14.5周。美国足踝外科协会最终评分为66分。
结论
关节镜辅助下清创及外固定架踝关节融合术在10例患者中获得了非常满意的踝关节融合率，且无复发或其他并发症。
证据等级
四级，治疗性病例系列。
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