关节镜技术治疗前踝撞击综合征的近期临床随访研究.docVIP

关节镜技术治疗前踝撞击综合征的近期临床随访研究 谢 峰，黄 涛，薛 刚，杨澜波，吴晓光 （471003 河南 洛阳，解放军第150中心医院全军训练伤研究所） [摘要]　目的 探讨应用关节镜技术对前踝撞击综合征的诊治，评估临床疗效。方法 2006年10月至2013年10月本所收治42例前踝撞击综合征患者,应用关节镜对其进行检查和治疗，其中骨性撞击11例，软组织撞击31例。取常规踝关节镜前内、前外通道观察撞击和软骨损伤情况，刨削清理增生肥厚的滑膜组织及纤维瘢痕，磨钻磨削距骨骨赘，清除退变剥脱的软骨碎屑。结果 对其中资料完整的40例患者进行随访分析,随访时间平均18(12～31)个月。根据美国足踝外科协会足踝关节评分系统（ＡＯＦＡＳ）评价疗效：优19例，良16例，中5例，优良率为87.5%，从术前评分（60.3±7.2）分，提高至随访结束时得分为（87.4±9.5）分，手术前后差异有统计学意义（P0.05），患者均未发生感染及其他并发症出现。结论 采用关节镜技术治疗前踝撞击综合征，能够对病变进行全面处理，是一项疗效肯定且可重复性高的技术方法。 [关键词]　踝关节；撞击综合征；关节镜 [中图法分类号] [文献标志码] A [基金项目] 河南省科技攻关项目（142102310183） nterior ankle impingement syndrome Feng Xie，Tao Huang，Gang Xue，Lanbo Yang，Xiaoguang Wu Institute of Military Training Related Medical Science,150 Hospital of PLA,Luoyang,Henan 471003,China [Abstract] Objective To evaluate the clinical effect of arthroscopy on anterior ankle impingement syndrome . Methods 　From October 2006 to October 2013，Forty-two cases with anterior ankle impingement treated via arthroscopy surgery were selected, including 11 cases with osteal　impingement and 31 cases with soft tissue impingement. Arthroscopic intervention included removing osteophytes, dibriding fabric scars and synovial membrane tissues and removing osteochondral fragments. Result Forty cases with anterior ankle impingement treated in our institute were studied retrospectively. All patients were followed for 12-31 months．The efficacy　was evaluated by the American Orthopedic Foot and Ankle Society(AOFAS) score system.There were 19 cases in excellent grade,16 cases in good, and 5 cases in medium. The excellent and good rate was up to 87.5%. Among the 40 cases, there were no complications such as postoperative infection. The total score was 87.4 ± 9.5 after operation according to AOFAS score system, showing significant differences when compared with preoperative ones(P0.05). Conclusion Arthroscopic treatment of anterior ankle impingement syndrome is an effective, repeatable, and safe method. [Key words] Ankle joint; Art