目的 评价Internal-Brace联合改良的Brostrom术治疗慢性踝关节外侧不稳的疗效。方法 回顾性分析陆军第八十一集团军医院骨科2019-01至2021-12收治的29例慢性踝关节外侧不稳患者,全部行Internal-Brace联合改良的Brostrom术,采用美国足踝外科协会(AOFAS)踝-后足评分系统,前抽屉试验,Karlsson-Peterson评分系统进行手术效果评价,采用视觉模拟评分法(VAS)评价手术前、后踝部疼痛。结果 所有患者均获得随访,其中28例末次随访时均能完成3 km跑等训练任务,基本恢复伤前训练水平,1例术后3 d出现切口感染,感染率3.4%;28例AOFAS评分由手术前(34.7±7.4)分提高到末次随访时的(86.6±3.3)分,差异有统计学意义(P＜0.01),所有患者术后前抽屉试验阴性,Karlsson-Peterson评分由术前(62.4±9.5)分提高到末次随访时的(92.6±4.5)分,差异有统计学意义(P<0.01),VAS评分由术前(7.1±0.7)分降低到末次随访时的(2.3±0.8)分,差异有统计学意义(P<0.01)。结论 Internal-Brace联合改良的Brostrom术治疗慢性踝关节外侧不稳效果显著,能明显改善患者踝关节功能。
Abstract
Objective To investigate the effects of Internal Brace combined with modified Brostrom procedure in the treatment of chronic lateral ankle instability.Methods A retrospective case series study was conducted on 29 male patients with chronic lateral ankle instability, using Internal-Brace combined with modified Brostrom procedure in treatment from January 2019 to December 2021. The American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scoring system, anterior drawer test and Karlsson-Peterson score were used for postoperative efficacy evaluation. Preoperative and postoperative ankle pain was assessed by Visual Analogue Score (VAS).Results All patients were followed up. During the last follow-up, 28 patients were able to complete training, such as a three-kilometer run, and regained their athletic ability. One patient suffered an incision infection after 3 days of operation, and the incision infection rate was 3.4%. The AOFAS score improved from (34.7±7.4) preoperatively to (86.6±3.3) postoperatively, and the difference was statistically significant (P<0.01). The anterior drawer test was all negative. Karlsson-Peterson score improved from (62.4±9.5) preoperatively to (92.6±4.5) postoperatively, and the difference was statistically significant (P<0.01). VAS score decreased from (7.1±0.7) preoperatively to (2.3±0.8) postoperatively, and the difference was statistically significant (P<0.01).Conclusions Internal-Brace combined with modified Brostrom procedure can effectively treat chronic lateral ankle instability, which can significantly improve ankle function and relieve pain.
关键词
距腓前韧带损伤 /
Internal-Brace /
改良Brostrom术 /
慢性踝关节不稳
Key words
anterior talofibular ligament /
Internal-Brace /
modified Brostrom procedure /
chronic lateral ankle instability
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