Chin T W, Mitra A K, Lim G H, Tan S K, Tay B K
Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
Ann Acad Med Singap. 1996 Mar;25(2):236-40.
A retrospective study of the arthroscopic treatment of osteochondral lesions of the talus in 25 patients was conducted. The follow-up period ranged from 1 to 4 years with an average of 2 years. Of the 25 patients, 20 could recall a history of injury. The diagnosis could be made by standard anteroposterior and lateral X-rays in 22 out of 25 patients. The standard anteromedial and anterolateral portals were usually sufficient. Patients with stage I and II lesions did well uniformly. In the 16 patients with stage III and IV lesions, good results were obtained in 12 and fair in 4. Morbidity was minimal.
对25例距骨骨软骨损伤患者的关节镜治疗进行了回顾性研究。随访时间为1至4年,平均2年。25例患者中,20例能回忆起受伤史。25例患者中有22例可通过标准正位和侧位X线片做出诊断。标准的前内侧和前外侧入路通常就足够了。I期和II期损伤的患者预后均良好。在16例III期和IV期损伤的患者中,12例效果良好,4例效果尚可。并发症极少。