中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
18期
14-16,19
,共4页
慢性踝关节外侧不稳定%带线锚钉%韧带%重建
慢性踝關節外側不穩定%帶線錨釘%韌帶%重建
만성과관절외측불은정%대선묘정%인대%중건
Chronic lateral ankle instability%Belt line anchors%Ligament%Reconstruction
目的：探讨带线锚钉在慢性踝关节外侧不稳治疗中的应用价值。方法选取2009年1月~2013年12月收治的慢性踝关节外侧不稳定患者11例，男7例，女4例；平均年龄（24.8±6.5）岁；均实施带线锚钉手术解剖重建外侧韧带，术后随访3~12个月，采用改良美国足踝骨科协会（AOFAS）足踝评分评价踝关节功能。结果改良AOFAS足踝评分优6例，良3例，可1例，差1例，优良率为81.82%。术后3个月改良AOFAS足踝评分均高于术前（P<0.05或P<0.01）；术后距骨倾斜角度、距骨移位距离、踝关节内侧间隙均小于术前（P<0.01）。结论带线锚钉解剖重建踝关节外侧韧带能恢复韧带稳定性，踝关节功能恢复良好，值得临床推广适用。
目的：探討帶線錨釘在慢性踝關節外側不穩治療中的應用價值。方法選取2009年1月~2013年12月收治的慢性踝關節外側不穩定患者11例，男7例，女4例；平均年齡（24.8±6.5）歲；均實施帶線錨釘手術解剖重建外側韌帶，術後隨訪3~12箇月，採用改良美國足踝骨科協會（AOFAS）足踝評分評價踝關節功能。結果改良AOFAS足踝評分優6例，良3例，可1例，差1例，優良率為81.82%。術後3箇月改良AOFAS足踝評分均高于術前（P<0.05或P<0.01）；術後距骨傾斜角度、距骨移位距離、踝關節內側間隙均小于術前（P<0.01）。結論帶線錨釘解剖重建踝關節外側韌帶能恢複韌帶穩定性，踝關節功能恢複良好，值得臨床推廣適用。
목적：탐토대선묘정재만성과관절외측불은치료중적응용개치。방법선취2009년1월~2013년12월수치적만성과관절외측불은정환자11례，남7례，녀4례；평균년령（24.8±6.5）세；균실시대선묘정수술해부중건외측인대，술후수방3~12개월，채용개량미국족과골과협회（AOFAS）족과평분평개과관절공능。결과개량AOFAS족과평분우6례，량3례，가1례，차1례，우량솔위81.82%。술후3개월개량AOFAS족과평분균고우술전（P<0.05혹P<0.01）；술후거골경사각도、거골이위거리、과관절내측간극균소우술전（P<0.01）。결론대선묘정해부중건과관절외측인대능회복인대은정성，과관절공능회복량호，치득림상추엄괄용。
Objective To investigate the value of with wire anchors in the treatment of cable anchors with chronic lat-eral ankle instability. Methods Selected 11 patients with chronic lateral ankle instability from January 2009 to Decem-ber 2012,7 males and 4 females,average age were(24.8±6.5) years,all implemented with wire anchors surgery to anatomi-cal reconstruction lateral ligaments,follow-up of 3 to 12 months postoperative,used a modified American Orthopaedic Foot and Ankle Society(AOFAS) scale to evaluate ankle function. Results Modified AOFAS ankle score excellent in 6 cases,good in 3 cases, fine in 1 case, poor in 1 case,good rate was 81.82%.AOFAS ankle scores were higher than preoperative after 3 months (P<0.05 or P<0.01); postoperative talar tilt angle,talar shift distance,ankle medial joint space was less than before(P<0.01). Conclusion With wire anchors application in the anatomical reconstruction of lat-eral ankle ligaments,the ligaments can restore the stability of the ankle, joint function recovered well, worthy of pro-motion apply.
