摘要
[目的]探讨关节镜技术在踝关节疾患中的诊治价值.[方法]回顾1998年9月～2004年10月关节镜治疗踝关节疾患71例,采用JOA踝关节评分系统对手术前后踝关节进行临床评估.[结果]术后10 d开始恢复日常活动(踝关节融合术除外);并发症4例(5.6%);术前JOA评分64.5分,术后88.2分,提高23.7分;术后随访62例,时间6个月～6 a(平均25个月);优52例,良6例,可3例,差1例,优良率93.5%.[结论]只要合理掌握适应证,关节镜治疗多种踝关节疾患可以取得满意效果;局麻下踝关节镜手术创伤小、恢复快,并可减少并发症的发生.
[ Objective ] To explore the diagnostic and therapeutic value of arthroscopy for ankle joint diseases. [ Method] A total of 71 patients with ankle diseases treated by arthroscopy were reviewed retrospectively from September 1998 to October 2004. The JOA Scoring for ankle was used as efficacy criteria. [ Result] The mean recovery time of daily activities was ten days （arthrodesis excluded）. Complications occurred in four cases （5.6%）. The preoperative score was 64. 5 （46 -81 ） points and postoperative score was 88.2 （67 -95） points. Sixty-two patients had been followed up for 6 months -6 years with an average of 25 months. Fifty-two patients had excellent results, 6 good, 3 fair and 1 poor, with the satisfactory rate of 93.5% （58/62）. [ Conclusion] The results of arthroscopy in ankle joint diseases are satisfactory if the indications are selected reasonably; the arthroscopic operation under local anesthesia has the advantages of minimal invasion, quick recovery and less complication.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2005年第23期1782-1784,共3页
Orthopedic Journal of China
关键词
踝关节
关节镜
疾患
Ankle joint
Arthroscopy
Diseases
