CAJ | 학술논문

背景：慢性踝关节不稳会对正常的生活造成严重的影响。因此，慢性踝关节不稳得到越来越多的专家重视，而慢性踝关节不稳患者早期合理有效的诊断和针对性的治疗方法的选择在临床上已经成为一个重要的课题。 　　目的：回顾近年来慢性踝关节不稳的诊断及治疗方法的文献研究，为临床实践中慢性踝关节不稳的诊断及合理有效的治疗提供参考和评价标准。 　　方法：计算机检索PubMed数据库、中国期刊全文数据库(CNKI)、万方和维普数据库有关慢性踝关节不稳的临床及基础实验研究，检索关键词分别为“慢性踝关节，不稳，诊断，康复锻炼，手术方法，研究进展”和“Chronic ankle，Instability，Diagnosis，Rehabilitation exercises，Surgical methods，Research”。共纳入40篇文献进行分析。 　　结果与结论：由于踝关节特殊的解剖结构特征和生物力学优点，在针对慢性踝关节不稳的患者应首先考虑早期的诊断和有效的治疗方法。而治疗方法应综合踝关节的解剖结构特点、生物力学特征、慢性踝关节的发病原因和诊断方法等各方面的因素决定。保守治疗和手术治疗后的康复锻炼对慢性踝关节不稳的恢复起着重大作用。平衡板、倾斜板、登山机的使用是慢性踝关节不稳康复锻炼的有效手段。AOFOS-踝后足和腓骨肌反应时间的应用对踝关节功能恢复的评定有重要意义。关节镜的出现是踝关节的手术治疗中重大的临床研究方向。这对于慢性踝关节不稳的治疗起着显著的效果。
배경：만성과관절불은회대정상적생활조성엄중적영향。인차，만성과관절불은득도월래월다적전가중시，이만성과관절불은환자조기합리유효적진단화침대성적치료방법적선택재림상상이경성위일개중요적과제。 　　목적：회고근년래만성과관절불은적진단급치료방법적문헌연구，위림상실천중만성과관절불은적진단급합리유효적치료제공삼고화평개표준。 　　방법：계산궤검색PubMed수거고、중국기간전문수거고(CNKI)、만방화유보수거고유관만성과관절불은적림상급기출실험연구，검색관건사분별위“만성과관절，불은，진단，강복단련，수술방법，연구진전”화“Chronic ankle，Instability，Diagnosis，Rehabilitation exercises，Surgical methods，Research”。공납입40편문헌진행분석。 　　결과여결론：유우과관절특수적해부결구특정화생물역학우점，재침대만성과관절불은적환자응수선고필조기적진단화유효적치료방법。이치료방법응종합과관절적해부결구특점、생물역학특정、만성과관절적발병원인화진단방법등각방면적인소결정。보수치료화수술치료후적강복단련대만성과관절불은적회복기착중대작용。평형판、경사판、등산궤적사용시만성과관절불은강복단련적유효수단。AOFOS-과후족화비골기반응시간적응용대과관절공능회복적평정유중요의의。관절경적출현시과관절적수술치료중중대적림상연구방향。저대우만성과관절불은적치료기착현저적효과。
BACKGROUND:Chronic ankle instability affects normal life severely. Therefore, chronic ankle instability causes more and more attention of experts, and choice of reasonable and effective diagnosis and targeted treatment method for chronic ankle instability in early stage has become an important issue in the clinic. OBJECTIVE:To review literature research on the diagnosis and treatment of chronic ankle instability in recent years, and to provide reference and evaluation criteria for the diagnosis and reasonable and effective treatment of chronic ankle instability in clinical practice. METHODS:We searched PubMed database, China National Knowledge Infrastructure, Wanfang database and VIP database for clinical and basic experimental research on chronic ankle instability. Keywords were“chronic ankle, instability, diagnosis, rehabilitation exercises, surgery methods, research progress”in Chinese and“chronic ankle, instability, diagnosis, rehabilitation exercises, surgical methods, research”in English. Total y 40 literatures were analyzed. RESULTS AND CONCLUSION:Because of the special anatomical features and biomechanical advantages of the ankle, we should first consider the early diagnosis and effective treatment in chronic ankle instability patients. The treatment should focus on the anatomic characteristics, biomechanic characteristics, etiology of chronic ankle and diagnostic methods of the ankle joint. Conservative treatment and rehabilitation exercises after surgery play a major role in the recovery of chronic ankle instability. The use of balance board, tilting board, and climbing machines is an effective rehabilitation exercises for chronic ankle instability. The application of AOFOS-hind foot and ankle fibula reaction time is important for the assessment of functional recovery of the ankle joint. The emergence of arthroscope is an important clinical research direction of ankle surgery. This plays a significant effect on the treatment of chronic ankle instability.