踝关节软骨损伤关节镜术后的综合康复治疗

The comprehensive rehabilitation of ankle cartilage injury after ankle arthroscopy

目的:探讨踝关节软骨损伤关节镜术后综合康复治疗的有效方法。方法:选择84例行踝关节镜手术的患者,随机分为综合组、运动组和对照组,每组28例。综合组行关节腔内注射透明质酸钠联合运动疗法;运动组只行运动疗法;对照组术后仅行骨科常规的护理治疗,不给予康复干预。分别于手术前后进行踝关节JOA踝关节功能评分,并且在术后6个月时按照Kofoed法进行疗效评价。结果:术前术后患者JOA功能评分差异具有显著性(P<0.05)。按照Kofoed法,术后6月,综合组、运动组的疗效优良率明显高于对照组(P<0.05)。结论:踝关节软骨损伤关节镜术后的患者应用关节内注射透明质酸钠联合运动疗法,对缓解关节疼痛和促进关节功能的早期恢复具有显著疗效。

Objective：To explore effective methods of rehabilitation in ankle articular cartilage damage after an- kle arthroscopy. Method：19 patients were treated with ankle arthroscopy, and randomly divided into the consolidat- ed group,the exercise group and the control group, 14 cases in each group. The consolidated group was injected with sodium hyaluronate joint with exercise therapy,the exercise group was only used movement therapy,the con- trol group was only used of orthopedic conventional postoperative care and treatment, not given rehabilitation inter- vention. Used JOA ankle function score respectively before and after surgery,in accordance with the the Kofoed law for efficacy evaluation after 6 months. Result：Compared with preoperative,JOA function score difference was significant after surgery（P〈0.05）. After 6 months, in accordance with the the Kofoed law, the good clinical effica- cy rate of the consolidated group, the exercise group significantly higher than the control group（P〈0.05）. Conclu- sion：The treatment of ankle cartilage injury after ankle arthroscopy which were injected with sodium hyaluronate, there is significant effects in easing joint pain and promoting early recovery of joint function.