摘要
目的:研究关节镜下自体半腱肌肌腱与同种异体肌腱治疗慢性踝关节外侧不稳的效果。方法:选择2017年7月-2019年3月于笔者所在医院进行关节镜下距腓前韧带联合跟腓韧带解剖重建的慢性踝关节外侧不稳患者50例,采用随机数字表法将其分为对照组和研究组,各25例。对照组采用自体半腱肌肌腱解剖重建,研究组采用同种异体肌腱解剖重建。比较两组临床指标、踝关节活动度、功能评分。结果:研究组手术时间短于对照组,住院时间和伤口愈合时间均长于对照组,差异均有统计学意义(P<0.05)。两组术后1年踝关节背伸及趾曲度比较差异均无统计学意义(P>0.05)。两组术后1年AOFAS评分及Tegner评分比较差异均无统计学意义(P>0.05)。结论:关节镜下自体半腱肌肌腱与同种异体肌腱解剖重建距腓前韧带联合跟腓韧带治疗慢性踝关节外侧不稳的效果相当,自体半腱肌肌腱治疗的住院时间和伤口愈合时间更短,同种异体肌腱的手术更加简便。
Objective:To study the effect of arthroscopic autogenous semitendinosus tendon and allogeneic tendon in the treatment of chronic lateral instability of ankle.Method:From July 2017 to March 2019,50 patients with chronic lateral instability of ankle who underwent arthroscopic anatomical reconstruction of anterior talofibular ligament combined with calcaneus fibula ligament were selected and divided into the control group and the study group by random number table method,25 cases in each group.The control group used autogenous semitendinosus tendon anatomical reconstruction,the study group used allogeneic tendon anatomical reconstruction.The clinical indexes,ankle range of motion and function scores of the two groups were compared.Result:The operation time of the study group was shorter than that of the control group,and the length of hospital stay and wound healing time were longer than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in ankle dorsiflexion and toe flexion between the two groups one year after operation(P>0.05).There were no significant differences in postoperative AOFAS score and Tegner score between the two groups one year after operation(P>0.05).Conclusion:Arthroscopic anatomical reconstruction of anterior talofibular ligament combined with calcaneus fibula ligament with autogenous semitendinosus tendon and allogeneic tendon for the treatment of chronic lateral instability of ankle has the same effect.The length of hospital stay and wound healing time of autologous semitendinosus tendon treatment are shorter,and the operation of allogeneic tendon is more convenient.
作者
杨勇
吕炜
杨元疆
YANG Yong;LYU WEI;YANG Yuanjiang(Shenzhen Hengsheng Hospital,Shenzhen 518100,China;不详)
出处
《中外医学研究》
2020年第23期121-123,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
距腓前韧带
跟腓韧带
踝关节
同种异体
Anterior talofibular ligament
Calcaneus fibula ligament
Ankle
Allogeneic
