CAJ | 학술논문

目的：探讨关节镜辅助下Endobutton弹性固定急性下胫腓联合损伤的临床效果。方法：在2011年1月至2012年5月期间，对38例下胫腓联合损伤的患者采用关节镜辅助下双Endobutton弹性固定或者金属螺钉固定的方法治疗。比较术后早期、术后3个月、术后6个月、末次随防时的TBCS、TBOL及AOFAS足踝功能评分优良率。结果：Endobutton组和金属螺钉组患者分别为18、20例，2组间术后初期、术后3个月、术后6个月及末次随防时TBCS、TBOL比较差异无统计学意义（ P＞0.05），2组间AOFAS评分术后3个月比较差异有统计意义（ P＜0.05），Endobutton组优于金属螺钉组，而术后6个月及末次随防时比较差异无统计意义（ P＞0.05）。结论：与传统方法相比，关节镜辅助下弹性内固定不仅利于诊断下胫腓联合损伤，而且提供更加精确的弹性内固定，利于术后早期活动。
목적：탐토관절경보조하Endobutton탄성고정급성하경비연합손상적림상효과。방법：재2011년1월지2012년5월기간，대38례하경비연합손상적환자채용관절경보조하쌍Endobutton탄성고정혹자금속라정고정적방법치료。비교술후조기、술후3개월、술후6개월、말차수방시적TBCS、TBOL급AOFAS족과공능평분우량솔。결과：Endobutton조화금속라정조환자분별위18、20례，2조간술후초기、술후3개월、술후6개월급말차수방시TBCS、TBOL비교차이무통계학의의（ P＞0.05），2조간AOFAS평분술후3개월비교차이유통계의의（ P＜0.05），Endobutton조우우금속라정조，이술후6개월급말차수방시비교차이무통계의의（ P＞0.05）。결론：여전통방법상비，관절경보조하탄성내고정불부리우진단하경비연합손상，이차제공경가정학적탄성내고정，리우술후조기활동。
Objective] To investigate the effect of endobutton elastic fixation associated with arthroscopic exploration on treating acute distal tibiofibular syndesmosis injury .[Method] From 2011 january to 2012 may ,38 patients with acute distal tibiofibular syndesmosis injury were treated with endobutton elastic fixation associated with arthroscopic exploration or traditional screws .18 patients and 20 patients were respectively included in the endobutton group and the screw group .The TBCS ,TBOL and AOFA ankle hind foot score were compared at early stage ,3 ,6 months after operation and the last follow-up .[Result] Between the two groups ,there were no significant differences about TBCS ,TBOL in every recording point ( P>0.05 ) .At posteroperative 3 months ,the Endobutton group showed higher AOFAS score ( P<0.05 ) ,but no significant differences in the other two time point( P>0.05) .[Conclusion] Compared to traditional treatment ,the new procedure could diagnose the acute distal tibiofibu-lar syndesmosis injury much more easily and has preciser elastic reduction and benefits in early motion .