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距骨骨软骨损伤的关节镜治疗

Arthroscopic treatment of osteochondral lesion of the talus.

作者信息

Chin T W, Mitra A K, Lim G H, Tan S K, Tay B K

机构信息

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

出版信息

Ann Acad Med Singap. 1996 Mar;25(2):236-40.

PMID:8799013
Abstract

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.

摘要

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。

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