关节镜下经皮缝合钉固定治疗单纯下胫腓联合急性不稳定的临床疗效。
Clinical outcomes of isolated acute instability of the syndesmosis treated with arthroscopy and percutaneous suture-button fixation.
机构信息
Department of Orthopaedic Surgery, Hospital Alemão Oswaldo Cruz, 94, São Joaquim street, Liberdade, São Paulo, SP, CEP: 01508-000, Brazil.
Department of Orthopaedic Surgery, Hospital Israelita Albert Einstein, 627, Albert Einstein Avenue, Jardim Leonor, São Paulo, SP, CEP: 05652-900, Brazil.
出版信息
Arch Orthop Trauma Surg. 2021 Sep;141(9):1567-1574. doi: 10.1007/s00402-021-03813-3. Epub 2021 Feb 12.
INTRODUCTION
To present the short- to midterm clinical outcomes of a series of patients with isolated acute syndesmosis instability treated with arthroscopy and percutaneous suture-button fixation.
MATERIALS AND METHODS
A review of 17 patients treated through the arthroscopic approach. The mean age of the patients was 27.8 years and the mean follow-up was 31.5 months. Clinical and functional evaluations were based on the VAS, AOFAS ankle-hindfoot score and time of return to preinjury level of activities. Imaging analysis was performed with stress radiographs, MRI and CT scan with stress.
RESULTS
The average VAS was 0.5 and the mean AOFAS score was 95.5. Out of the 17 patients, 15 were able to return to their preinjury level of activities. The mean time of return to activities was 5.06 months.
CONCLUSION
Arthroscopic approach and percutaneous suture-button fixation provided satisfactory clinical and functional results for selected patients with ASI at short- to midterm follow-up.
LEVEL OF EVIDENCE
Level IV, retrospective case series.
简介
介绍一系列采用关节镜及经皮纽扣缝线固定治疗单纯急性下胫腓联合不稳定患者的短期至中期临床结果。
材料与方法
回顾性分析了 17 例采用关节镜入路治疗的患者。患者平均年龄 27.8 岁，平均随访 31.5 个月。临床和功能评估基于视觉模拟评分（VAS）、美国足踝外科协会（AOFAS）踝-后足评分以及恢复至伤前活动水平的时间。影像学分析包括应力位 X 线、磁共振成像（MRI）和 CT 扫描加应力位。
结果
平均 VAS 评分为 0.5，AOFAS 平均评分为 95.5。17 例患者中，15 例可恢复至伤前活动水平，平均活动恢复时间为 5.06 个月。
结论
关节镜入路及经皮纽扣缝线固定治疗选择的 ASI 患者在短期至中期随访中获得了满意的临床和功能结果。
证据等级
IV 级，回顾性病例系列研究。
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