摘要
目的观察半腱肌移植重建外侧副韧带治疗慢性踝关节不稳的疗效。方法将我院收治的21例踝关节外侧不稳患者进行半腱肌移植重建外侧副韧带。观察和比较手术前后踝关节功能状态的差异。结果踝关节功能状态手术后评分显著高于手术前评分,比较有统计学差异(P<0.05)。手术后踝关节功能评分优秀12例,良好8例,一般1例,优良率为95.2%。进行6个月随访,踝关节功能恢复正常且无踝关节不稳复发情况。结论半腱肌移植重建外侧副韧带治疗慢性踝关节不稳,有利于踝关节功能的改善,减少反复发作,值得临床选择。
Objective To observe the clinical effect of transplantation and reconstruction of semitendinosus into lateral collateral ligament for treatment of chronic ankle instability. Method 21 patients with lateral ankle instability were given treatment of transplantation and reconstruction of semitendinosus into lateral collateral ligament. Difference of ankle function before and after operation was observed and compared. Result Scores of ankle function after operation was obviously higher than before operation （P〈0.05）. Excellent and good rate of ankle function score after operation was 95.2% （excellent 12 cases, good 8 cases, and normal 1 case）. Within 6 months follow-up visit, ankle function recovered regularly and no ankle instability occurred. Conclusion Transplantation and reconstruction of semitendinosus into lateral collateral ligament for treatment of chronic ankle instability can facilitate improvement of ankle function and lessen repeated attack, so it is worth of being adopted in clinical work.
出处
《中国医药指南》
2015年第14期13-13,15,共2页
Guide of China Medicine
关键词
半腱肌移植重建
外侧副韧带
慢性踝关节不稳
疗效研究
Ransplantation and reconstruction of semitendinosus
Lateral collateral ligament
Chronic ankle instability
Clinical effect study
