| 摘要: |
| ［摘要］ 目的 评价关节镜联合Broström-Gould术治疗慢性踝关节不稳（CAI）的疗效。方法 收集2018年7月至2019年7月湖北六七二中西医结合骨科医院收治的30例CAI患者的临床资料。所有患者采用踝关节镜联合Broström-Gould术治疗。比较术前、术后6周及术后12个月患者视觉模拟量表(VAS)评分、美国足踝关节协会(AOFAS)踝-后足总评分、Karlsson-Peterson踝关节功能评分、距骨倾斜角。结果 30例患者获随访12～22(16.0±3.1)个月。术后距骨倾斜角较术前减小，VAS疼痛评分逐渐降低，Karlsson-Peterson踝关节功能较术前改善，AOFAS踝-后足总评分较术前显著改善，差异有统计学意义（P<0.05）。结论 关节镜联合Broström-Gould术治疗CAI疗效满意，踝关节功能恢复好。 |
| 关键词: 慢性踝关节不稳 关节镜 Broström-Gould术 |
| DOI：10.3969/j.issn.1674-3806.2021.11.14 |
| 分类号:R 686 |
| 基金项目: |
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| Efficacy evaluation of arthroscopy combined with Broström-Gould procedure in treatment of chronic ankle instability |
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WANG Wei, LI Zhao-wen, ZUO Chang-jun, et al.
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Department of Bone Joint and Sports Medicine, Hubei 672 Orthopedic Hospital of Integrated Chinese and Western Medicine, Wuhan 430000, China
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| Abstract: |
| ［Abstract］ Objective To evaluate the efficacy of arthroscopy combined with Broström-Gould procedure in treatment of chronic ankle instability(CAI). Methods The clinical data of 30 patients with CAI in Hubei 672 Orthopedic Hospital of Integrated Chinese and Western Medicine from July 2018 to July 2019 were collected. All the patients received arthroscopy combined with Broström-Gould procedure treatment. Visual Analogue Scale(VAS) score, American Orthopaedic Foot and Ankle Society(AOFAS) ankle and hindfoot total score, Karlsson-Peterson ankle function score and talar tilt angle in the patients were compared before operation, and 6 weeks and 12 months after operation. Results All the 30 patients were followed up for 12 to 22 months, with a mean period of (16.0±3.1)months. The postoperative talar tilt angle decreased compared with the preoperative talar tilt angle. The postoperative VAS pain score gradually decreased. The postoperative Karlsson-Peterson ankle function improved compared with the preoperative Karlsson-Peterson ankle function, and the postoperative AOFAS ankle and hindfoot total score improved significantly compared with the preoperative AOFAS ankle and hindfoot total score, with statistically significant differences(P<0.05). Conclusion Arthroscopy combined with Broström-Gould procedure has a satisfactory effect on treatment of CAI, and the recovery of ankle joint function is good. |
| Key words: Chronic ankle instability(CAI) Arthroscopy Broström-Gould procedure |
