| 卫文博,党莎杰,段大鹏,等.关节镜下微骨折结合带线锚钉治疗外踝韧带损伤合并距骨软骨损伤的临床疗效观察[J].安徽医药,2026,30(7):1363-1366. |
| 关节镜下微骨折结合带线锚钉治疗外踝韧带损伤合并距骨软骨损伤的临床疗效观察 |
| Treatment of lateral malleolus ligament combined with talus cartilage injury with arthroscopy and threaded rivets |
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| DOI：10.3969/j.issn.1009-6469.2026.07.018 |
| 中文关键词: 踝关节镜术 踝韧带扭伤 外踝 距骨骨软骨损伤 微骨折 踝关节 |
| 英文关键词: Ankle arthroscopy Strained ankle ligament Lateral malleolus Osteochondral lesion of the talus Microfracture Ankle |
| 基金项目:陕西省重点研发计划项目( 2024SF-YBXM-362)；西安市科技局创新能力强基计划项目( 22YXYJ0155) |
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| 中文摘要: |
| 目的评价关节镜下微骨折结合带线锚钉治疗外踝韧带损伤合并距骨软骨损伤的临床疗效。方法回顾性分析陕西省人民医院 2018年 1月至 2020年 12月采用关节镜下微骨折结合带线锚钉治疗外踝韧带损伤合并距骨软骨损伤，并获得完整随访者 48例( 56踝)其中男 27例，女 21例；左踝 22例，右踝 26例，双踝 8例。统计手术时间、住院时间、手术前后视觉模拟评分法( VAS)、美国足踝外，科踝与后足功能( AOFAS)评分、国际膝关节文献委员会( IKDC)评分、距骨倾斜角以及距骨迁移距离，对手术前后功能状况进行评分。结果 48例( 56踝)病人手术时间( 63.25±14.58)min，住院时间( 8.15±2.11)d。病人术后 VAS为( 0.89±0.13)分，与术前( 5.33±0.47)分比较，差异有统计学意义( P<0.05)；病人 AOFAS及 IKDC评分为( 89.22±7.09)分、(93.02±3.04)分，与术前( 57.49±8.83)分、(61.95±2.76)分相比较，明显升高( P<0.05)；距骨倾斜角由术前的( 9.05±1.96)°降低到术后( 3.53±1.38) 明显得到改善；距骨迁移距离由( 10.19±2.83)mm缩短到( 4.91±1.17)mm，差异有统计学意义( P<0.01)，随访期间伤口愈合不良1，例，经加强换药后痊愈。结论对外踝韧带损伤合并距骨软骨损伤病人行关节镜下微骨折结合带线锚钉治疗，可降低 VAS，提高 AOFAS及 IKDC评分，改善距骨倾斜角，疗效确切，并发症少。 |
| 英文摘要: |
| Objective To evaluate the clinical efficacy of arthroscopic microfracture combined with threaded rivets in the treatment of lateral malleolus ligament injury combined with talus cartilage injury.Methods A retrospective analysis was made of 48 cases (56 ankles) who received complete follow-up of the lateral malleolus ligament injury combined with talus cartilage injury treated by ar-throscopic microfracture combined with threaded rivets at Shaanxi Provincial People's Hospital from January 2018 to December 2020,including 27 males and 21 females. There were 22 left ankles, 26 right ankles, and 8 double ankles. The operation time, hospital stay,preoperative and postoperative visual analog scale (VAS) scores, American orthopaedic foot and ankle society (AOFAS) ankle-hindfoot scores, International Knee Documentation Committee (IKDC) scores, talus tilt angle and talar translation distance were recorded, andthe preoperative and postoperative functional status was evaluated.Results The average operation time of 48 patients (56 ankles) was(63.25±14.58) min, and the average hospital stay was (8.15±2.11) d. The postoperative VAS score of the patients was (0.89±0.13)points,which was statistically significant compared with the preoperative score [(5.33±0.47) points, P<0.05]. The patients' AOFAS score andIKDC score [(89.22±7.09) points, (93.02±3.04) points] were significantly increased compared with the respective preoperative scores[(57.49±8.83) points, (61.95±2.76) points, respectively; P<0.05]. The talus tilt angle decreased from (9.05± 1.96)° preoperatively to(3.53±1.38)° postoperatively which was significantly improved. The translation distance of the talus was shortened from (10.19±2.83)mm to (4.91±1.17) mm with statistically significant difference(P<0.01). During the follow-up period, 1 case of wound healing was poor, which healed after intensive dressing change.Conclusion Treating patients with lateral malleolus ligament injury and talus cartilageinjury with arthroscopic microfracture combined with threaded rivets can reduce the VAS score, increase the AOFAS score and IKDCscore, and improve the tilt angle of the talus, which has reliable clinical efficacy and a low complication rate. |
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