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[踝关节手术关节镜检查。107例]

[Operative arthroscopy of the ankle. 107 cases].

作者信息

Demazière A, Ogilvie-Harris D J

机构信息

Toronto Western Hospital, Ontario, Canada.

出版信息

Rev Rhum Mal Osteoartic. 1991 Feb;58(2):93-7.

PMID:2042013
Abstract

Ankle arthroscopy was performed in 127 patients. It was possible to evaluate 107 of these patients. Follow-up covered a mean period of 39 months (12 to 94 months). A figure of 80% good results was found in disorders such as osteochondral fractures of the dome of the talus, anterior osteophytosis of the tibia or after synovectomy with arthroscopic direct vision in synovial diseases such as benign tumours or chronic inflammatory rheumatism. The role of arthroscopy in ankle instability and in osteoarthrosis is declined. This endoscopic procedure is associated with a 13% postoperative complication rate, the most serious being a permanent neurological lesion and septic arthritis.

摘要

127例患者接受了踝关节镜检查。其中107例患者的情况得以评估。随访平均时长为39个月(12至94个月)。在距骨穹窿部骨软骨骨折、胫骨前缘骨赘形成或滑膜疾病(如良性肿瘤或慢性炎症性风湿病)行关节镜直视下滑膜切除术后等病症中,发现有80%的患者效果良好。踝关节镜在踝关节不稳和骨关节炎中的作用不大。这种内镜手术术后并发症发生率为13%,最严重的是永久性神经损伤和化脓性关节炎。

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引用本文的文献

1
Management of Osteochondral Lesions of the Talar Dome.距骨穹窿骨软骨损伤的管理
Open Orthop J. 2017 Jul 31;11:743-761. doi: 10.2174/1874325001711010743. eCollection 2017.
2
Treatment of osteochondral lesions of the talus: a systematic review.距骨骨软骨病变的治疗:系统评价。
Knee Surg Sports Traumatol Arthrosc. 2010 Feb;18(2):238-46. doi: 10.1007/s00167-009-0942-6. Epub 2009 Oct 27.
3
[Value of arthroscopy in the treatment of upper ankle arthritis].
Unfallchirurg. 2005 Jun;108(6):461-9. doi: 10.1007/s00113-004-0904-x.
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Arthroscopically assisted arthrodesis of the ankle joint.
Arch Orthop Trauma Surg. 1996;115(3-4):182-9. doi: 10.1007/BF00434550.
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Arthroscopic treatment of anterior synovitis of the ankle in athletes.
Knee Surg Sports Traumatol Arthrosc. 1994;2(3):176-81. doi: 10.1007/BF01467922.