关节镜手术与开放性手术治疗踝关节融合术的疗效：一项对107例患者的比较性回顾性研究。
The outcome of arthroscopic and open surgery ankle arthrodesis: a comparative retrospective study on 107 patients.
作者信息
Nielsen Kristian Kibak, Linde Frank, Jensen Niels Christian
机构信息
Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus C, Denmark.
出版信息
Foot Ankle Surg. 2008;14(3):153-7. doi: 10.1016/j.fas.2008.01.003. Epub 2008 Mar 5.
PURPOSE
To evaluate the results of arthroscopic guided ankle arthrodesis, and the results of open surgery arthrodesis in two comparable groups of patients.
METHODS
A group of 58 arthroscopic guided ankle arthrodeses was compared to a group of 49 ankles arthrodeses operated by open technique. The patients and ankles in both groups fulfilled the same criteria of inclusion except that the ankles operated by open technique had a varus/valgus malalignment exceeding 5 degrees. The pre- and postoperative treatment protocols were identical.
RESULTS
The patients in the arthroscopic group were discharged on average 2.27 days earlier than the patients operated by open technique (p<0.01). Ninety percent of the patients in the arthroscopic group and 57% in the open group showed bony union after 12 weeks (p<0.01). The rate of union after 1 year was 95% in the arthroscopic group and 84% in the open group (n.s.).
CONCLUSION
Arthroscopic guided ankle arthrodesis represents a safe and cost saving procedure.
目的
评估关节镜引导下踝关节融合术的结果，以及在两组可比患者中开放性手术融合术的结果。
方法
将一组58例关节镜引导下踝关节融合术患者与一组49例采用开放技术进行踝关节融合术的患者进行比较。两组患者及踝关节均符合相同的纳入标准，只是采用开放技术手术的踝关节存在超过5度的内翻/外翻畸形。术前和术后治疗方案相同。
结果
关节镜组患者平均比采用开放技术手术的患者提前2.27天出院（p<0.01）。关节镜组90%的患者和开放组57%的患者在12周后显示骨愈合（p<0.01）。1年后关节镜组的愈合率为95%，开放组为84%（无统计学差异）。
结论
关节镜引导下踝关节融合术是一种安全且节省成本的手术。
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