Feng S M, Xu K F, Li C K, Wang A G, Zhang Z Y
Department of Hand and Foot Microsurgery, Xuzhou Central Hospital, Xuzhou 221009, China.
Zhonghua Yi Xue Za Zhi. 2018 Oct 9;98(37):2995-2998. doi: 10.3760/cma.j.issn.0376-2491.2018.37.009.
To explore the effects of ankle arthroscopy technique in treating the tarsal tunnel syndrome. From May 2014 to May 2016, the ankle arthroscopy technique was used for surgical treatment of tarsal tunnel syndrome in the Department of Hand and Foot Microsurgery in Xuzhou Central Hospital. Twenty-two patients with 24 feet with tarsal tunnel syndrome were hospitalized for treatment, with 10 left feet and 14 right feet, aged 26-57 years. The disease duration ranged from 4 to 15 months (mean 8.3 months). The dual-portals ankle arthroscopic neurolysis and fiber membrane resection were performed. The Pfeiffer scoring system was used to evaluate the post-operative outcomes. Primarily healing of the wound was achieved in all the patients. No postoperative infection was found during the follow-up. The postoperative hospitalization time was 2 to 5 days (mean 3.7 days). All patients were followed up for 12 to 24 months. At the final follow-up, all the patients had significant improvement in numbness and pain. According to the Pfeiffer scoring system, the results were excellent in 16 feet, good in 8 feet, with an excellent and good rate of 100%. The ankle arthroscopic neurolysis is a safe and easy treatment option for the tarsal tunnel syndrome and provides satisfactory results.
探讨踝关节镜技术治疗跗管综合征的效果。2014年5月至2016年5月，徐州中心医院手足显微外科采用踝关节镜技术对22例（24足）跗管综合征患者进行手术治疗，其中左足10只，右足14只，年龄26 - 57岁，病程4 - 15个月（平均8.3个月）。采用双入路踝关节镜下神经松解及纤维膜切除术，应用Pfeiffer评分系统评估术后疗效。所有患者伤口均一期愈合，随访期间无术后感染发生。术后住院时间为2 - 5天（平均3.7天）。所有患者均随访12 - 24个月。末次随访时，所有患者麻木及疼痛症状均有明显改善。根据Pfeiffer评分系统，结果为优16足，良8足，优良率为100%。踝关节镜下神经松解术治疗跗管综合征安全、简便，效果满意。
