摘要
目的研究全镜下无结锚钉技术修复距腓前韧带治疗慢性踝关节外侧不稳定患者的效果。方法采用回顾性分析方法,研究对象为2018年6月至2019年12月陕西省核工业二一五医院收治的62例慢性踝关节外侧不稳定患者。按照随机数字表法分为对照组与研究组,各31例。对照组选用改良开放式Brostrom锚钉修复治疗,研究组选用全镜下无结锚钉技术修复治疗。比较2组患者手术前、后髋关节功能评分、距骨倾斜角、距骨前移距离与术中出血量、手术时间及术后恢复正常生活时间。结果研究组患者手术前、手术后髋关节功能评分分别为(64.57±10.98)分、(88.25±4.14)分,对照组分别为(64.81±10.83)分、(80.36±6.39)分。2组患者手术前髋关节功能评分比较,差异无统计学意义(P>0.05);2组患者手术后髋关节功能评分较手术前更高,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组患者手术前、手术后距骨倾斜角、距骨前移距离分别为(9.21±3.16)°、(3.09±0.81)°、(8.86±2.42)mm、(2.97±0.48)mm;对照组分别为(9.34±3.25)°、(3.28±0.75)°、(8.73±2.51)mm、(3.06±0.43)mm。2组患者手术前、手术后距骨倾斜角、距骨前移距离比较,差异无统计学意义(P>0.05);2组患者手术后距骨倾斜角、距骨前移距离较手术前更低,差异有统计学意义(P<0.05)。研究组术中出血量为(9.16±3.05)m L,少于对照组的(29.63±8.74)m L,研究组手术时间(25.08±5.93)min及术后恢复正常生活时间(5.33±1.62)周短于对照组[(40.63±7.14)min、(7.18±2.25)周],差异有统计学意义(P<0.05)。结论全镜下无结锚钉技术修复距腓前韧带治疗慢性踝关节外侧不稳定患者的效果显著,可促使患者快速康复。
Objective To study the effect of repairing the anterior talofibular ligament under the total microscope with no anchors in the treatment of chronic lateral ankle instability.Methods Retrospective analysis was performed on 62 patients with chronic lateral ankle instability who were admitted to hospital from June 2018 to December 2019.They were divided into two groups(31 patients in the control group and 31 patients in the study group)by referring to the random number table.The control group was treated with an improved open Brostrom anchor repair,while the research group was treated with an unanchored anchor repair under full scope.Hip function score,talus inclination Angle,anterior distance of talus,intraoperative blood loss,operation time and postoperative normal life time were compared between the two groups before and after operation.Results The hip function scores of the patients in the study group before and after the operation were(64.57±10.98)scores and(88.25±4.14)scores respectively,and the control group were(64.81±10.83)scores and(80.36±6.39)scores respectively.There was no significant difference in hip function scores between the two groups before surgery(P>0.05);the hip function scores of the two groups after surgery were higher than before surgery,and the study group were higher than the control group,the differencec were statistically significant(P<0.05).The inclination angle of the talus and the anterior distance of the talus before and after the operation in the study group were(9.21±3.16)°,(3.09±0.81)°,(8.86±2.42)mm,and(2.97±0.48)mm respectively;and the control group were(9.34±3.25)°,(3.28±0.75)°,(8.73±2.51)mm,(3.06±0.43)mm respectively.There was no significant difference between the two groups of patients before and after the operation of the talus tilt angle and the talus anterior distance(P>0.05);the talus tilt angle and the talus anterior distance of the two groups after the operation were lower than those before the operation,and the differences were statistically significant(P<0.05).The intraoperative blood loss in the study group was(9.16±3.05)m L,which was less than in the control group(29.63±8.74)m L,and the operation time of the study group(25.08±5.93)min and the postoperative recovery time to normal life(5.33±1.62)weeks was shorter than in the control group[(40.63±7.14)min,(7.18±2.25)weeks],the difference was statistically significant(P<0.05).Conclusion The anterior talofibular ligament repair under full microscope with no anchor is effective in the treatment of chronic lateral ankle instability,and can promote the rapid recovery of patients.
作者
蒋宏魁
樊力
冯亮
曹雪飞
王军
任锴
JIANG Hong-kui;FAN Li;FENG Liang(Department of Orthopedics,215th Hospital of Shaanxi Nuclear Industry,Xianyang Shaanxi 712000,China)
出处
《临床和实验医学杂志》
2020年第21期2332-2335,共4页
Journal of Clinical and Experimental Medicine
基金
陕西省创新人才推进计划(编号:2017KJXX-93)。
关键词
距腓前韧带
慢性踝关节外侧不稳
关节镜
无结锚钉技术
修复
Anterior talofibular ligament
Chronic lateral ankle instability
Arthroscopy
Non-anchoring technology
Repair
