关节镜辅助下治疗陈旧性下胫腓联合损伤的体会

Cilinical experience of arthroscopic treatment of chronic tibiofibular syndesmosis injury

目的探讨在踝关节镜辅助下治疗陈旧性下胫腓联合损伤的疗效。方法回顾性分析2013年2月-2014年4月采用在踝关节镜辅助下探查和清理关节腔、复位和固定下胫腓关节、修复和重建损伤韧带的7例陈旧性下胫腓联合损伤患者的资料,其中男5例,女2例,平均37.5岁。术后根据临床及影像学资料和美国足踝外科协会踝关节功能(AOFAS)评分对临床结果进行评估。结果平均随访14.2个月;切口均一期愈合,没有出现切口感染及神经血管损伤;术后6个月根据AOFAS踝关节功能评分系统进行评分:优6例,良1例。结论通过关节镜辅助下治疗陈旧性下胫腓联合损伤可以得到有效的复位以及可靠的固定,具有创伤小、恢复快和并发症少等优点,短期疗效满意。

【Objective】To investigate the clinical result of ankle arthroscopy assisted in the treatment of chronic tibiofibular syndesmosis injury.【Methods】From February 2013 to April 2014, a retrospective analysis of the result of the patient who clean up the joint cavity, reduction and fixation of the tibiofibular syndesmosis, repair and reconstruction of ligament injury by the ankle arthroscopic. There are 7 cases, 5 cases were male, 2 female patients,with an average age of 37.5 years. The clinical results were evaluated according to the clinical and imaging data and AOFAS score. 【Results】Patients were followed up for an average of 14.2 months, there was no incision infection and injury of nerve and blood vessel.6 months postoperatively according to AOFAS ankle joint function scoring system score, 6 cases were excellent, good in 1 case. 【Conclusion】Arthroscopic treatment of chronic tibiofibular syndesmosis injury can get effective reduction and reliable fixation, and has the advantages of little injury, quick recovery and less complication and the short-term curative effect is excellent.