半腱肌肌腱移植治疗慢性踝关节外侧不稳疗效观察

Curative Effect of Semitendinosus Tendon Transplantation on Chronic Lateral Instability of the Ankle

目的观察半腱肌肌腱移植治疗慢性踝关节外侧不稳的手术疗效。方法用半腱肌肌腱移植治疗26例慢性踝关节外侧不稳的患者,术后石膏外固定,康复锻炼,6个月后进行随访、分析治疗效果。结果 26例患者均获得随访观察,随访时间8个月~3年,平均1.8年。按AOFAS标准评定,术后结果优8例,良14例,中4例,优良率为84.6%。AOFAS评分从术前平均61.3分提高到术后平均86.54分。结论半腱肌肌腱移植治疗慢性踝关节外侧不稳,结合良好康复治疗,踝关节功能恢复满意,疗效可靠。

Objective To explore the curative effect of semitendinosus tendon transplantation on chronic lateral instability of the ankle. Methods Semitendinosus tendon transplantation was performed on 26 patients with chronic lateral instability of the ankle and plaster external fixation was made after surgery, and rehabilitation was applied; follow-up was performed 6 months after surgery and the curative effect was analyzed. Results The follow-up of the 26 patients lasted from 8months to 3 years with the average of 1.8 years; according to AOFAS, the effect was excellent in 8 cases, good in 14 cases and fair in 4 cases, the total effective rate reached 84.6%, and the average AOFAS score went up from 61.3 before surgery to 86.54 after surgery. Conclusions Semitendinosus tendon transplantation plus suitable rehabilitation is of reliable effect on chronic lateral instability of the ankle and the function of ankle joint can have a satisfactory recovery.