摘要
目的评价Internal-Brace联合改良的Brostrom术治疗慢性踝关节外侧不稳的疗效。方法回顾性分析陆军第八十一集团军医院骨科2019-01至2021-12收治的29例慢性踝关节外侧不稳患者,全部行Internal-Brace联合改良的Brostrom术,采用美国足踝外科协会(AOFAS)踝-后足评分系统,前抽屉试验,Karlsson-Peterson评分系统进行手术效果评价,采用视觉模拟评分法(VAS)评价手术前、后踝部疼痛。结果所有患者均获得随访,其中28例末次随访时均能完成3 km跑等训练任务,基本恢复伤前训练水平,1例术后3 d出现切口感染,感染率3.4%;28例AOFAS评分由手术前(34.7±7.4)分提高到末次随访时的(86.6±3.3)分,差异有统计学意义(P<0.01),所有患者术后前抽屉试验阴性,Karlsson-Peterson评分由术前(62.4±9.5)分提高到末次随访时的(92.6±4.5)分,差异有统计学意义(P<0.01),VAS评分由术前(7.1±0.7)分降低到末次随访时的(2.3±0.8)分,差异有统计学意义(P<0.01)。结论Internal-Brace联合改良的Brostrom术治疗慢性踝关节外侧不稳效果显著,能明显改善患者踝关节功能。
Objective To investigate the effects of Internal Brace combined with modified Brostrom procedure in the treatment of chronic lateral ankle instability.Methods A retrospective case series study was conducted on 29 male patients with chronic lateral ankle instability,using Internal-Brace combined with modified Brostrom procedure in treatment from January 2019 to December 2021.The American Orthopaedic Foot&Ankle Society(AOFAS)ankle-hindfoot scoring system,anterior drawer test and Karlsson-Peterson score were used for postoperative efficacy evaluation.Preoperative and postoperative ankle pain was assessed by Visual Analogue Score(VAS).Results All patients were followed up.During the last follow-up,28 patients were able to complete training,such as a three-kilometer run,and regained their athletic ability.One patient suffered an incision infection after 3 days of operation,and the incision infection rate was 3.4%.The AOFAS score improved from(34.7±7.4)preoperatively to(86.6±3.3)postoperatively,and the difference was statistically significant(P<0.01).The anterior drawer test was all negative.Karlsson-Peterson score improved from(62.4±9.5)preoperatively to(92.6±4.5)postoperatively,and the difference was statistically significant(P<0.01).VAS score decreased from(7.1±0.7)preoperatively to(2.3±0.8)postoperatively,and the difference was statistically significant(P<0.01).Conclusions Internal-Brace combined with modified Brostrom procedure can effectively treat chronic lateral ankle instability,which can significantly improve ankle function and relieve pain.
作者
杨瑞
郑铁钢
张全顺
恩和
张琰冰
刘鹏飞
YANG Rui;ZHENG Tiegang;ZHANG Quanshun;EN He;ZHANG Yanbing;LIU Pengfei(Department of Orthopaedics,Hospital of the 81st Army Group,Zhangjiakou 075000,China)
出处
《武警医学》
CAS
2023年第2期119-122,共4页
Medical Journal of the Chinese People's Armed Police Force
