摘要
目的分析微创踝关节融合术治疗创伤性踝关节炎的临床效果。方法选取2011年6月至2014年6月我院收治的创伤性踝关节炎患者52例作为研究对象,按照数字法分为对照组和治疗组各26例。对照组予以开放式踝关节融合术治疗,治疗组予以微创踝关节融合术治疗。采用美国足踝外科协会踝-后足评分系统对两组患者的临床治疗效果进行评价。结果两组随访1年。术后6个月,治疗组患者骨性融合率明显高于对照组,差异具有统计学意义(P<0.05);术后1年,两组骨性融合率差异无统计学意义(P>0.05)。术后6个月,两组患者踝-后足评分比较无统计学意义(P>0.05),术后1年治疗组患者踝-后足评分明显优于对照组,差异具有统计学意义(P<0.05)。结论微创踝关节融合术治疗创伤性踝关节炎具有创伤小、痛苦少、融合率高等特点,且能显著提高早期骨性愈合率,疗效确切,具有积极的临床价值。
Objective To explore the clinical effect of minimally invasive ankle arthrodesis for trau- matic anklebone arthritis. Methods A total of 52 cases of patients from June 2011 to June 2014 of Traumatic arthritis ankle joint were randomly divided into two groups, with 26 cases in each group. Control group was treated with open ankle arthrodesis. Treatment group was treated with minimally invasive ankle arthrodesis. America foot and ankle surgery association ankle hindfoot score system was used to evaluate the clinical treatment of two groups. Results The two groups were followed-up one year. The treatment group was better than the control, there was statistical significance（P〈0.05）. After one year, there was no statistical signifieance（P〉0.05）. After 6 months, the treatment group was better than the control, there was no statistical significance（P 〉0.05）. After one year, the treatment group ankle hind foot score was better than the control group, there was statistical significance（P〈0.05）. Conclusion Minimally invasive ankle arthro- desis of traumatic ankle arthritis with less trauma, causes less pain, and its fusion rate is higher. It can significantly improve the early healing rate, the curative effect is exact. It has positive clin- ical value.
出处
《青岛医药卫生》
2015年第5期330-332,共3页
Qingdao Medical Journal
