Angermann P, Jensen P
Department of Orthopedic Surgery, Central Hospital, Naestved, Denmark.
Foot Ankle. 1989 Dec;10(3):161-3. doi: 10.1177/107110078901000309.
Twenty patients with osteochondritis dissecans of the ankle were reviewed for a clinical and radiographical follow-up 9 to 15 years after surgery including multiple drilling of the lesion combined with excision of loose fragments. The short-term results of surgery were satisfactory: 85 degrees of the patients were improved or cured. At follow-up, more than half of the patients had some degree of pain during activity, and swelling of the ankle, but only a few had locking or pain at rest. Only one of the 18 patients without osteoarthritis at the time of surgery had developed generalized osteoarthritis at the follow-up. Although the initial good results of surgery were demonstrated to deteriorate with time, the procedure can still be recommended in patients with longstanding symptoms.
对20例踝关节剥脱性骨软骨炎患者进行了术后9至15年的临床和影像学随访，手术包括对病变进行多次钻孔并切除游离碎片。手术的短期效果令人满意：85%的患者病情得到改善或治愈。随访时，超过一半的患者在活动时有一定程度的疼痛和踝关节肿胀，但只有少数患者出现交锁或静息痛。手术时无骨关节炎的18例患者中，随访时只有1例发展为全身性骨关节炎。尽管手术最初的良好效果随时间推移有所恶化，但对于有长期症状的患者，该手术仍可推荐。
