[1]李宏亮,李淑媛,肇刚,等.局麻关节镜下清理术治疗踝关节大骨节病的疗效分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(03):203-206.
 Li Hongliang,Li Shuyuan,Zhao Gang,et al.Efficacy of arthroscopic debridement for ankle Kaschin-Beck disease under local anesthesia[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(03):203-206.
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局麻关节镜下清理术治疗踝关节大骨节病的疗效分析(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
37卷
期数:
2015年第03期
页码:
203-206
栏目:
论著
出版日期:
2015-02-15

文章信息/Info

Title:
Efficacy of arthroscopic debridement for ankle Kaschin-Beck disease under local anesthesia
作者:
李宏亮李淑媛肇刚齐伟曲峰郭旗袁帮拓陆兮刘玉杰魏民
解放军总医院骨科;首都医科大学附属北京同仁医院足踝外科
Author(s):
Li Hongliang Li Shuyuan Zhao Gang Qi Wei Qu Feng Guo Qi Yuan Bangtuo Lu Xi Liu Yujie Wei Min

Department of Orthopaedics, Chinese PLA General Hospital, Beijing, 100853; Department of Foot and Ankle Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China

关键词:
大骨节病踝关节关节镜软骨损伤关节炎撞击
Keywords:
Kaschin-Beck disease ankle arthroscopy cartilage injury arthritis impingement
分类号:
R614.3; R684.1; R687.4
文献标志码:
A
摘要:

目的      分析关节镜清理治疗踝关节大骨节病的近期疗效。      方法      2000年7月至2012年3月关节镜治疗踝关节大骨节病共44例(48踝),包括左踝18例,右踝22例,双侧4例。男性26例,女性18例,平均年龄36(23~57)岁。采用美国足踝外科协会(AOFAS)踝-后足评分系统、疼痛视觉模评分(VAS)、踝关节背伸活动度(ROM)对术前和术后3、6、12、24个月进行随访时的功能状态进行评价。       结果      VAS评分术前(6.8±0.9)分,术后3、6、12、24个月时分别为(1.9±0.7)、(2.2±0.9)、(2.9±12)、(4.8±2.1)分,手术前后差异有统计学意义(P<0.05);AOFAS评分术前(53.6±7.4)分,术后各时间点分别为(86.6±4.9)、(83.4±6.4)、(77.0±4.7)、(67.0±5.3)分,手术前后差异有统计学意义(P<0.05);术后踝关节背伸及下蹲显著改善,关节绞锁症状消失,疼痛得到缓解,6踝术后负重行走疼痛无改善。      结论      局麻关节镜下清理治疗踝关节大骨节病可显著缓解踝关节疼痛,改善行走功能,延缓疾病进展,提高患者生活质量。

Abstract:

Objective      To evaluate the effect of arthroscopic debridement for ankle Kaschin-Beck disease under local anesthesia.       Methods      A total of 44 patients (48 ankles, including 18 left ankles, 22 right ankles and 4 both ankles) of Kaschin-Beck disease treated under arthroscopy in our department from July 2000 to March 2012 were enrolled in this study. They were 26 men and 18 women, with an average age of 36 (ranging from 23 to 57). The American orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot scale, visual analogue scale (VAS), and the range of motion (ROM) of the ankle dorsiflexion were employed to evaluate the outcome before and in 3, 6, 12 and 24 months after surgery.       Results      Clinically, VAS score was decreased from 6.8±0.9 preoperatively to 1.9±0.7, 2.2±0.9, 2.9±1.2 and 4.8±2.1 respectively, in 3, 6, 12 and 24 months postoperatively (P<0.05). AOFAS ankle-hindfoot score was increased from 53.6±7.4 preoperatively to 86.6±4.9, 83.4±6.4, 77.0±4.7 and 67.0±5.3 respectively, in 3, 6, 12 and 24 months after surgery (P<0.05). The dorsiflexion of the ankle and squat were improved significantly. Locking symptom was disappeared and pain was relieved, however, pain still existed in 6 ankles with weight-bearing during walking.       Conclusion      Arthroscopic debridement for ankle Kaschin-Beck disease under local anesthesia management is a good procedure with advantages of significant pain relieve, improvement of walking function, and promotion of patients’ life quality.

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更新日期/Last Update: 2015-01-30