自体骨软骨移植治疗距骨骨软骨损伤对疼痛和关节功能的影响

Effects of Autogenous Osteochondral Transplantation on Pain and Joint Function in Patients with Osteochondral Injuries of Talus

目的观察距骨骨软骨损伤应用自体骨软骨移植治疗对疼痛及关节功能的影响。方法选择2015年5月至2017年5月我院收治的60例OIT患者的临床资料,均行自体软骨骨移植术,比较治疗前后疼痛、关节功能。结果本组患者治疗后的VAS评分、Harris评分及AOFAS踝-足评分均比治疗前优,且踝关节活动范围比治疗前有所改善(P<0.05);随访仅5例发生供区疼痛、肿胀,并发症率8.33%,数日后自行好转。结论距骨骨软骨损伤应用自体骨软骨移植治疗效果显著,有效减轻疼痛,改善关节功能。

Objective To observe the effects of autogenous osteochondral transplantation on pain and joint function in patients with talus osteochondral injury.Methods The clinical data of 60 patients with OIT treated in our hospital from May 2015 to May-2017 were treated with autogenous osteochondral bone grafting,and the pain and joint function before and after treatment were compared.Results The VAS score,Harris score and AOFAS ankle foot score were better than those before treatment,and the range of motion of the ankle was improved than before treatment(P<0.05);only 5 cases had follow-up for pain,swelling,complication rate was 8.33%,the number of days after the self improvement.Conclusion Autogenous osteochondral transplantation is effective in the treatment of talus osteochondral injuries.It can effectively reduce pain and improve joint function.