Parisien J S, Vangsness T
Clin Orthop Relat Res. 1985 Oct(199):46-53.
This is a preliminary report on 15 cases of surgical arthroscopy of the ankle performed between 1979 and 1983. Age range of the patients was from 14 to 35 years. Follow-up examinations were performed between six months and two and one-half years after surgery, with an average of 14 months. The indications were pain or clicking sensations accompanied by painful limitation of motion for an average of three months. Chondral and osteochondral fracture of the talar dome were observed in nine cases; chondral and osteochondral lesions of the tibial plafond in two cases; osteochondral loose bodies in two cases and; posttraumatic adhesions or arthritis was found in three cases. Treatment consisted of debridement of osteochondral lesions, removal of loose bodies, curettage, drilling, synovectomy, and abrasion of the subchondral bone. The results were assessed subjectively and objectively. Satisfactory overall results were obtained in 85% of the cases. There were no major complications. This study suggests that arthroscopic surgery has a definite role in the management of intra-articular lesions of the ankle. The results are reproducible if the arthroscopic surgeon pays proper attention to the anatomy of the area and is familiar with the use of different arthroscopic portals.
这是一份关于1979年至1983年间进行的15例踝关节手术关节镜检查的初步报告。患者年龄范围为14至35岁。术后六个月至两年半进行了随访检查，平均随访时间为14个月。手术指征为疼痛或弹响感，伴有平均三个月的疼痛性活动受限。观察到距骨穹窿软骨和骨软骨骨折9例；胫骨平台软骨和骨软骨损伤2例；骨软骨游离体2例；创伤后粘连或关节炎3例。治疗包括骨软骨损伤清创、游离体摘除、刮除、钻孔、滑膜切除和软骨下骨磨削。结果通过主观和客观评估。85%的病例获得了满意的总体结果。无重大并发症。本研究表明，关节镜手术在踝关节关节内病变的治疗中具有明确作用。如果关节镜外科医生适当注意该区域的解剖结构并熟悉不同关节镜入路的使用，结果是可重复的。
