摘要
目的:探讨在跟距骨桥患者中采用踝关节镜下后侧入路切除跟距骨桥与[母]长屈肌腱减压松解术的治疗效果。方法:选取2019年1月-2020年12月在佛山市高明区人民医院进行手术治疗的跟距骨桥患者60例,依据治疗方式不同分为对照组与观察组,各30例。对照组采用开放手术治疗,观察组采用踝关节镜下后侧入路切除跟距骨桥与[母]长屈肌腱减压松解术。比较两组手术优良率、手术指标、术后恢复情况及并发症发生率。结果:观察组手术优良率为96.67%,高于对照组的80.00%,两组比较差异有统计学意义(P<0.05)。两组手术时间比较差异无统计学意义(P>0.05),观察组术中出血量、骨折愈合时间、住院时间均低于对照组,两组比较差异有统计学意义(P<0.05)。观察组并发症发生率为6.67%,低于对照组的26.67%,两组比较差异有统计学意义(P<0.05)。结论:对跟距骨桥患者采用踝关节镜下后侧入路切除跟距骨桥以及[母]长屈肌腱减压松解术治疗,其创伤小,并发症低,术后恢复快,具有较高的安全性和有效性,可作为首选治疗方法。
Objective: To explore the treatment effect of talocalcaneal bridge resection and flexor hallucis longus decompression and release by posterior approach under ankle arthroscopy in patients with talocalcaneal bridge. Methods: A total of 60 patients with talocalcaneal bridge who underwent surgical treatment in Gaoming District People’s Hospital of Foshan City from January 2019 to December 2020 were selected and divided into control group and observation group according to different treatment methods, with 30 cases in each group. The control group was treated with open surgery, and the observation group was treated with talocalcaneal bridge resection and flexor hallucis longus decompression and release by posterior approach under ankle arthroscopy. The excellent and good rates of surgery, surgical indicators, postoperative recovery, and incidence of complications were compared between the two groups. Results: The excellent and good rate of surgery in the observation group was 96.67%,which was higher than that in the control group(80.00%), and the difference was statistically significant between two groups(P<0.05). There was no statistically significant difference in operation time between the two groups(P>0.05). The amount of intraoperative blood loss, fracture healing time and hospital stay in the observation group were lower than those in the control group, and the difference was statistically significant between two groups(P<0.05). The incidence of complications in the observation group was 6.67%, which was lower than that in the control group(26.67%), and the difference was statistically significant between two groups(P<0.05). Conclusion: For the patients with talocalcaneal bridge, the talocalcaneal bridge resection and flexor hallucis longus decompression and release by posterior approach under ankle arthroscopy produces small trauma, low complications, quick recovery, high safety and effectiveness, it can be used as the preferred treatment method.
作者
郑佐勇
杨康胜
麦海妙
Zheng Zuo-yong;Yang Kang-sheng;Mai Hai-miao(Second Department of Surgery,Gaoming District People's Hospital of Foshan City,Foshan 528500,Guangdong Province,China)
出处
《中国社区医师》
2022年第10期28-30,共3页
Chinese Community Doctors
基金
佛山市自筹经费科技计划项目(2018AB001954)。
关键词
跟距骨桥
踝关节镜
后侧入路
[母]长屈肌腱减压松解术
Talocalcaneal bridge
Ankle arthroscopy
Posterior approach
Decompression and release of flexor hallucis longus
