Jerosch J, Schneider T, Strauss J M, Schürmann N
Klinik und Poliklinik für Allgemeine Orthopädie, Westfälische Wilhelms-Universität Münster.
Unfallchirurg. 1993 Feb;96(2):82-7.
Based on the results of a retrospective study of 116 patients who underwent diagnostic and surgical arthroscopy of the ankle, we present the technique, the results, the complications, and the indications for ankle arthroscopy. The average age of the patients was 33 years (range 10-70 years). At follow-up the patients were examined clinically as well as radiologically. The results were scored for the criteria pain, function, athletic activity, walking aids, range of motion, and swelling. The overall score increased significantly from 50.1 preoperatively to 73.7 postoperatively (P < 0.05). The decrease in pain and the improvements in function and athletic activity after arthroscopy were significant. The other parameters (walking aids, range of motion, swelling) showed only slight changes. The patients' subjective assessment (visual analogue scale) also revealed a significant increase, from 35.6 to 69.5 (P < 0.05). After arthroscopy the preexisting radiologic lesions continued to progress. Some 71.2% of the patients suffered no limitations their work at follow-up but 13.6% reported slight limitations and 15.3% experienced moderate limitations. We documented severe restrictions in athletic activity; only 17% of the patients had maintained their previous level. In 16 cases we found iatrogenic temporary neurologic damage.
基于对116例行踝关节诊断性和手术性关节镜检查患者的回顾性研究结果，我们介绍了踝关节镜检查的技术、结果、并发症及适应证。患者的平均年龄为33岁（范围10 - 70岁）。随访时对患者进行了临床及影像学检查。根据疼痛、功能、体育活动、辅助行走器具、活动范围和肿胀等标准对结果进行评分。总体评分从术前的50.1显著提高至术后的73.7（P < 0.05）。关节镜检查后疼痛减轻，功能和体育活动改善显著。其他参数（辅助行走器具、活动范围、肿胀）仅有轻微变化。患者的主观评估（视觉模拟评分）也显示出显著提高，从35.6提高至69.5（P < 0.05）。关节镜检查后，原有的放射学病变继续进展。约71.2%的患者在随访时工作无受限，但13.6%报告有轻微受限，15.3%有中度受限。我们记录了体育活动的严重受限情况；只有17%的患者维持了之前的水平。在16例病例中，我们发现了医源性暂时性神经损伤。
