摘要
目的比较关节镜下改良缝合与普通缝合治疗慢性踝关节不稳暨大ⅡA型距腓前韧带损伤的临床疗效。方法回顾性分析自2019-06—2021-02于笔者所在团队行关节镜下手术修复治疗的100例慢性踝关节不稳暨大ⅡA型距腓前韧带损伤,其中山市东升医院10例,暨南大学附属第一医院90例,按照随机数字表法将患者随机分为2组,改良缝合组50例采用改良缝合方法,普通缝合组50例采用普通缝合方法。比较两组末次随访美国骨科足踝协会(American orthopaedic foot and ankle society,AOFAS)评分、疼痛VAS评分、前抽屉试验情况。结果所有患者均获得随访,随访时间为24个月。末次随访改良缝合组AOFAS评分为(82.2±7.69)分,普通缝合组为(78.12±11.79)分;末次随访改良缝合组AOFAS评分高于普通缝合组,差异有统计学意义(t=2.050,P=0.043)。末次随访改良缝合组疼痛VAS评分为(1.40±0.49)分,普通缝合组为(1.50±0.58)分;末次随访两组疼痛VAS评分差异无统计学意义(t=0.927,P=0.356)。末次随访改良缝合组前抽屉试验:1级39例,2级11例;普通缝合组:1级38例,2级12例;末次随访两组前抽屉试验情况差异无统计学意义(χ^(2)=0.056,P=0.812)。结论采用关节镜下改良缝合方法与普通缝合方法治疗慢性踝关节不稳暨大ⅡA型距腓前韧带损伤均安全、有效,对于术后踝关节稳定性要求更高的患者,改良缝合方法具有比普通缝合方法更优的功能疗效。
Objective To compare the clinical efficacy of arthroscopic modified suture and common suture in the treatment of chronic ankle instability Jinan university typeⅡA anterior talofibular ligament injuries.Methods A retrospective analysis of 100 cases(Including 10 cases in Dongsheng Hospital,Zhongshan City,and 90 cases in the First Affiliated Hospital of Jinan University)with chronic ankle instability and largeⅡA type anterior talofibular ligament injuries and underwent arthroscopic surgical repair treatment from June 2019 to February 2021 in the author's team was conductedon.In accordance with the method of randomized numerical table,the patients were randomly divided into 2 groups,50 cases in the modified suture group and 50cases in the modified suture group.American Orthopaedic Foot and Ankle Society(AOFAS)score,Visual Analogue Scale(VAS)score,and anterior drawer test were compared between the two groups at the last follow-up.Results All patients were followed up for 24 months.The AOFAS score was(82.2±7.69)in the modified suture group and(78.12±11.79)in the suture group at the last follow-up;the AOFAS score was higher in the modified suture group than in the suture group at the last follow-up,with a statistically significant difference(t=2.050,P=0.043).The VAS score was(1.40±0.49)in the modified suture group at the last follow-up and(1.50±0.58)in the suture group;the difference in VAS score between the two groups at the last follow-up was not statistically significant(t=0.927,P=0.356).Anterior drawer test in the modified suture group at the last follow-up:39 cases of grade 1 and 11 cases of grade 2;in the suture group:38 cases of grade 1 and 12 cases of grade 2;the difference in anterior drawer test between the two groups at the last follow-up was not statistically significant(χ^(2)=0.056,P=0.812).Conclusion Both the arthroscopic modified and common suture methods for treatment of chronic ankle instability with Jinan university typeⅡA anterior talofibular ligament injuries are safe and effective,and the modified suture method has superior functional efficacy over the common suture method in patients who require more postoperative ankle stability.
作者
洪峰
何林果
吴运成
滕强
樊东宜
侯辉歌
HONG Feng;HE Linguo;WU Yuncheng;TENG Qiang;FAN Dongyi;HOU Huige(Department of Orthopaedics,Zhongshan Dongsheng Hospital,Zhongshan,Guangdong 528414,China;不详)
出处
《中国骨与关节损伤杂志》
2024年第8期828-831,共4页
Chinese Journal of Bone and Joint Injury
关键词
慢性踝关节不稳
距腓前韧带损伤
关节镜
踝关节
Chronic ankle instability
Anterior talofibular ligament injuries
Arthroscopy
Ankle joint
