[1]杨宗宇△ 刘非 崔亮 刘核达 左俊水 李森田 孙佩宇.韧带重建联合骨软骨移植治疗慢性踝关节不稳合并骨软骨损伤25例[J].中国中医骨伤科杂志,2018,26(05):60-62,65.
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韧带重建联合骨软骨移植治疗慢性踝关节不稳合并骨软骨损伤25例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年05期
页码:
60-62,65
栏目:
临床报道
出版日期:
2018-05-02

文章信息/Info

文章编号:
1005-0205(2018)05-0060-03
作者:
杨宗宇1△ 刘非1 崔亮1 刘核达1 左俊水1 李森田1 孙佩宇2
1河北省沧州中西医结合医院足踝外科 (河北 沧州,061001) 2北京中医医院骨伤科
关键词:
慢性踝关节不稳 骨软骨损伤 改良Bromström术 骨软骨移植
分类号:
R684
文献标志码:
B
摘要:
目的:探讨改良Bromström术联合骨软骨移植治疗慢性踝关节不稳合并骨软骨损伤的临床疗效。方法:本院采用改良Bromström术解剖重建踝关节外侧副韧带联合自体骨软骨移植治疗慢性踝关节不稳合并骨软骨损伤患者25例。其中男15例,女10例; 右踝16例,左踝9例; 平均年龄30.5岁(16~45岁); 平均病史14个月(6个月~5年)。分别于术前,术后3,6及12个月对患者进行AOFAS 评分[1]和Tegner评分[2]进行评估,拍摄应力位X线片并记录距骨倾斜角。记录患足术后疼痛、肿胀、再次扭伤情况,检查内翻应力试验及前抽屉试验。结果:所有患者术后均未出现排斥反应,切口均一期愈合。所有患者均完成随访,平均13.5个月(11~20个月)。术后未出现反复扭伤现象,踝关节慢性肿痛症状消失,内翻应力试验及前抽屉试验均阴性,均恢复日常工作和运动。术后随访时行应力位X线片提示距骨倾斜角较术前明显变小,末次随访时平均角度为4.53°±1.73°,差异有统计学意义(P<0.01); 末次随访时AOFAS评分明显改善,平均分为(87.50±3.16)分,差异有统计学意义(P<0.01); 末次随访时Tegner评分明显改善,平均分为(5.97±1.21)分,差异有统计学意义(P<0.01)。结论:改良Bromström术联合骨软骨移植治疗慢性踝关节不稳合并骨软骨损伤临床效果良好,值得推广应用。

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备注/Memo

备注/Memo:
通信作者 E-mail:15832781820@163.com
更新日期/Last Update: 2018-05-02