CAJ | 학술논문

目的观察人工全踝关节置换术治疗踝关节骨关节炎的疗效.方法对1999年10月- 2006年10月所收治的42例患有严重踝关节骨关节炎并符合手术适应证的患者进行人工全踝关节置换术.并按照Kofoed评分标准,对患者的疼痛程度、踝关节功能、踝关节活动度进行评分；同时根据Mayo踝关节置换的评价标准对患者进行疗效评价.结果根据Kofoed评分标准,术后患者在疼痛、功能和活动度方面都明显优于术前(P＜0.05),优良率为90％ (28/31)；而根据Mayo踝关节置换的评价标准,优良率为87％ (27/31).结论人工全踝置换术能有效缓解踝关节疼痛,改善踝关节活动度及功能,为需行踝关节融合术患者提供一种有效的方法.
목적 관찰인공전과관절치환술치료과관절골관절염적료효.방법 대1999년10월- 2006년10월소수치적42례환유엄중과관절골관절염병부합수술괄응증적환자진행인공전과관절치환술.병안조Kofoed평분표준,대환자적동통정도、과관절공능、과관절활동도진행평분；동시근거Mayo과관절치환적평개표준대환자진행료효평개.결과 근거Kofoed평분표준,술후환자재동통、공능화활동도방면도명현우우술전(P＜0.05),우량솔위90％ (28/31)；이근거Mayo과관절치환적평개표준,우량솔위87％ (27/31).결론 인공전과치환술능유효완해과관절동통,개선과관절활동도급공능,위수행과관절융합술환자제공일충유효적방법.
Objective To observe the efficacy of total ankle replacement in treatment of osteoarthritis of ankle joint.Methods Between October 1999 and October 2006,42 patients with ankle osteoarthritis were admitted in Beijing Jishuitan Hospital.All the patients met surgical indications and were performed total ankle replacement with S.T.A.R.system ( Scandinavian Total Ankle Replacement) (Waldemar Link,Hamburg,Germany).The pain in patients,motion and function of joint were evaluated pre- and post-operatively according to Kofoed scoring system,and the efficacy was evaluated with the Mayo'evaluation criteria of total ankle replacement.Results According to Kofoed scoring system,the postoperative situation was obviously superior to the preoperative in pain,motion and function of joint(P ＜ 0.05 ),and the excellent and good rate was 90.32％.While,the excellent and good rate was 87.5％with the Mayo' evaluation criteria of total ankle replacement.Conclusion Total ankle replacement,which can relieve pain,restore ankle function and improve ankle activity,provides another effective method for the patients who need ankle arthrodesis.