摘要
目的:探讨关节镜下病灶清理术治疗踝关节骨性关节炎的临床效果及其影响因素。方法:回顾性研究2000年3月至2006年2月本所收治的67例踝关节骨性关节炎病例,67例均行踝关节镜下病灶清理术,54例患者获得随访,平均随访时间为36.4(12～84)个月。比较术前、术后美国足踝外科(AOFAS)踝-后足评分、改良的McGuire踝关节评分、Mazur踝关节评分,以及不同病变程度、性别和年龄组之间改良的McGuire踝关节评分的差异;并进行主观疗效评定。结果:术后患足AOFAS踝-后足评分、改良的McGuire踝关节评分及Mazur踝关节评分均明显提高,分别从术前的58.2±12.9分、59.5±15.4分、61.3±14.7分提高至84.4±11.4分、85.3±12.8分、85.1±15.3分(均P<0.01);主观疗效优良率为81.5%。小于40岁的年轻患者及病变程度较轻患者的疗效较好(P<0.05)。结论:关节镜下病灶清理术治疗踝关节骨性关节炎疗效良好,病变程度及患者年龄是影响疗效的因素。
Objective To summarize the clinical results and analyze relative influence factors of arthroscopic debridement for osteoarthritis of the ankle. Methods 67 cases of osteoarthritis of the ankle joint treated with arthroscope were studied. 54 cases were followed up and the mean follow-up period was 364 （12-84）months. The AOFAS hindfoot and ankle score, McGuire score, Mazur score and level of satisfaction were evaluated. Results The scores of three assessment systems were all improved, which were 58.2±12.9, 59.5±15.4, 61.3±14.7 pre-operatively versus 84.4±11.4, 85.3±12.8, 85.1±15.3 post-operatively respectively （P〈0.01）. The subjective successful rate was 81.5%. The patients younger than 40 years old and those with mild and moderate lesions got better results（P〈0.05）. Conclusion The arthroscopic debridement for osteoarthritis of the ankle joint could achieve satisfactory results. Age and the severity of lesions were correlation factors of the therapeutic effect.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
2009年第3期242-244,259,共4页
Chinese Journal of Sports Medicine
