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外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳的疗效观察

Efficacy of lateral collateral ligament reconstruction surgery combined with arthroscopy in treatment of chro-nic lateral ankle instability

摘要:

目的:观察外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳的临床疗效。方法选取慢性踝关节外侧不稳患者60例,按照随机数字表法将患者分为研究组和对照组,每组30例。对照组给予保守治疗,研究组行踝关节镜探查清理联合腓骨短肌腱外侧韧带重建手术进行治疗,应用美国足踝外科踝-后足功能评分系统( AOFAS)评价两组治疗前后的评分,并比较两组优良率、复发率以及并发症发生率。结果两组治疗前AOFAS功能评分差异无统计学意义(P>0.05),两组治疗后AOFAS功能评分均显著升高,且研究组显著高于对照组,两组差异有统计学意义(t=9.837、10.873、8.789,均P<0.05);研究组优良率96.7%(29/30),显著高于对照组的73.3%(22/30);研究组复发率0.0%(0/30),显著低于对照组的13.3%(4/30);研究组并发症发生率3.3%(1/30),显著低于对照组的20.0%(6/30),两组差异均有统计学意义(χ2=13.982、15.037、13.298,均P<0.05)。结论外侧副韧带重建手术结合关节镜检查治疗慢性踝关节外侧不稳具有较好的临床疗效,且复发率较低,并发症较少。

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abstracts:

Objective To study the clinical efficacy of lateral collateral ligament reconstruction surgery com-bined with arthroscopy in treatment of chronic lateral ankle instability.Methods 60 cases with chronic lateral ankle instability were selected,the patients were divided into the study group and the control group according to a random number table,which has 30 cases in each group.The control group was received conservative treatment, the study group was underwent exploratory arthroscopic ankle cleanup combined with peroneus brevis tendon lateral ligament reconstruction surgery.Scores before and after treatment of the two groups were detected in American bare foot and ankle surgery-hindfoot score system( AOFAS) .And excellent rate,the recurrence rate and complication rate between the two groups were compared.Results AOFAS score before treatment of the two groups had no significant difference (P>0.05),AOFAS score after treatment of two groups were significantly higher,and that of the study group was sig-nificantly higher than the control group,the difference was statistically significant (t=9.837,10.873,8.789,all P<0.05);Excellent rate of the study group was 96.7% (29/30) significantly higher than the 73.3% (22/30) in the control group,recurrence rate of the study group was 0.0% (0/30),significantly lower than the 13.3% (4/30) in the control group,the complication rate of the study group was 3.3%(1/30),significantly lower than the 20.0%(6/30)in the control group,the difference was statistically significant (χ2 =13.982,15.037,13.298,all P<0.05). Conclusion Lateral collateral ligament reconstruction surgery combined with arthroscopy in treatment of chronic lat-eral ankle instability has better clinical efficacy,the recurrence rate is low,and has less complications.

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