CAJ | 학술논문

目的观察微创踝关节融合术治疗创伤性关节炎的临床疗效，并与开放式踝关节融合术患者进行对比分析，了解微创踝关节融合术治疗创伤性关节炎的有效性。方法选择我院关节外科2007年6月至2011年6月收治的行微创踝关节融合术的8例创伤性踝关节炎患者（微创组）进行临床疗效评估，并与同期收治的11例行开放式踝关节融合术患者（开放式组）的临床疗效进行对比分析。通过骨性融合率和术后美国足踝外科协会踝-后足评分系统评估两组患者的临床疗效。结果两组患者均获得随访，随访期为1年。术后6个月的骨性融合率微创组显著高于开放式组（P＜0.05），术后1年的骨性融合率两组则无统计学差异（P＞0.05）。术后6个月时两组患者踝-后足评分无统计学差异（P＞0.05），但术后1年时微创组踝-后足评分显著优于开放式组（ P＜0.05）。结论微创踝关节融合术的早期骨性融合率和减轻疼痛疗效要优于开放式踝关节融合术，但纠正踝关节畸形的能力不如开放式踝关节融合术，二者术后1年的骨性融合率无差异。
목적관찰미창과관절융합술치료창상성관절염적림상료효，병여개방식과관절융합술환자진행대비분석，료해미창과관절융합술치료창상성관절염적유효성。방법선택아원관절외과2007년6월지2011년6월수치적행미창과관절융합술적8례창상성과관절염환자（미창조）진행림상료효평고，병여동기수치적11례행개방식과관절융합술환자（개방식조）적림상료효진행대비분석。통과골성융합솔화술후미국족과외과협회과-후족평분계통평고량조환자적림상료효。결과량조환자균획득수방，수방기위1년。술후6개월적골성융합솔미창조현저고우개방식조（P＜0.05），술후1년적골성융합솔량조칙무통계학차이（P＞0.05）。술후6개월시량조환자과-후족평분무통계학차이（P＞0.05），단술후1년시미창조과-후족평분현저우우개방식조（ P＜0.05）。결론미창과관절융합술적조기골성융합솔화감경동통료효요우우개방식과관절융합술，단규정과관절기형적능력불여개방식과관절융합술，이자술후1년적골성융합솔무차이。
Objective To evaluate and compare the clinical outcome of patients with ankle traumatic arthritis treated by minimally invasive arthroscopic ankle fusion and open surgery ankle arthrodesis ,and to make clear the effect of minimally invasive arthroscopic ankle fusion .Methods The clinical data were statistically analyzed from eight patients treated with minimally invasive arthroscopic ankle fusion and open surgery ankle arthrodesis unilaterally from June 2007 to June 2011 in our department .8 patients underwent minimally invasive arthroscopic ankle fusion ( minimally invasive group ) and 11 patients underwent open surgery arthrodesis ( open technique group ) . Assessed and analyzed all the patients based on bony union rate and postoperative AOFAS Ankle Hindfoot Scale . Results All the 19 patients were followed up for one year .There were significant differences ( P<0.05 ) in bony union rate after 6 months between open technique group and minimally invasive group .But there were no significant differences ( P>0.05 ) in bony union rate after one year between two groups .There were no significant differences ( P>0.05 ) in AOFAS assessment after 6 months between open technique group and minimally invasive group but there were significant differences ( P <0.05 ) between two groups .Conclusions The early bony union rate and pain remission of minimally invasive arthroscopic ankle fusion are better than open surgery arthrodesis .But open surgery arthrodesis has better efficacy in correction of deformity than minimally invasive arthroscopic ankle fusion .The two operative method have the same bony union rate after one year .