关节镜治疗后踝撞击综合征的临床观察

[Clinical observation of arthroscopy for posterior ankle impingement].

作者信息

Wei Min, Liu Yang

机构信息

Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China;

Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China.

出版信息

Zhongguo Gu Shang. 2016 Dec 25;29(12):1084-1087. doi: 10.3969/j.issn.1003-0034.2016.12.004.

DOI:10.3969/j.issn.1003-0034.2016.12.004

PMID:29292880

Abstract

OBJECTIVE

To observe clinical effects of arthroscopy for posterior ankle impingement.

METHODS

From January 2013 to December 2014, 34 patients with posterior ankle impingement were performed ankle arthroscopy with double passage, including 20 males and 14 females aged from 29 to 62 years old with average of 42.2 years old. VAS score were applied for evaluate joint pain before operation and 12 months after operation, AOFAS sore were used to assess ankle joint function.

RESULTS

All patients were followed up with 12 months, and incision were healed well, no complications occurred. Thirty-four patients were bony impingement and 19 patients were soft tissue impingement. Operation time ranged from 20 to 35 min with an average of(25.6±5.2)min. The posterior ankle impingement test of all patients was negative after operation. VAS score at 12 months after operation(1.2±1.3) was significantly higher than that of before operation(4.6±1.0). AOFAS score at 12 months after operation( 84.7±6.5) was also obvious higher than that of before operation (62.7±8.9).

CONCLUSIONS

Arthroscopy for posterior ankle impingement could relieve pain and improve function of ankle, shorten operative time, and it has a good clinical effect.

摘要

目的

观察关节镜治疗后踝撞击综合征的临床疗效。

方法

选取2013年1月至2014年12月收治的34例后踝撞击综合征患者行双入路踝关节镜手术，其中男20例，女14例；年龄29～62岁，平均42.2岁。采用视觉模拟评分法（VAS）评价术前及术后12个月的关节疼痛情况，采用美国足与踝关节协会（AOFAS）评分评估踝关节功能。

结果

所有患者均获12个月随访，切口愈合良好，无并发症发生。34例患者中，骨撞击34例，软组织撞击19例。手术时间20～35 min，平均（25.6±5.2）min。术后所有患者后踝撞击试验均为阴性。术后12个月VAS评分为（1.2±1.3）分，明显低于术前（4.6±1.0）分；术后12个月AOFAS评分为（84.7±6.5）分，明显高于术前（62.7±8.9）分。