漂浮体位前后联合入路踝关节镜技术治疗踝关节滑膜软骨瘤病的疗效研究

A Mid-term Follow-up Study of Ankle Arthroscopy Technique in the Treatment of Ankle Synovial Chondromatosis with Floating Position

目的分析漂浮体位前后联合入路踝关节镜技术治疗踝关节滑膜软骨瘤病(SC)的效果。方法选取踝关节SC患者42例作为研究对象,行漂浮体位前后联合入路踝关节镜技术治疗,统计对比术前、术后3个月、6个月、12个月疼痛程度[疼痛视觉模拟量表(VAS)]、踝关节功能[美国足与踝协会踝与后足评分量表(AOFAS评分)]、并发症状况。结果术后3个月、6个月、12个月VAS评分低于术前,且随着时间延长,VAS评分逐渐下降(P<0.05);术后3个月、6个月、12个月AOFAS评分高于术前,且随着时间延长,AOFAS评分逐渐升高(P<0.05);并发症发生率为4.76%(2/42)。结论漂浮体位前后联合入路踝关节镜技术治疗踝关节SC患者时,可减轻疼痛度,促进踝关节功能恢复,且并发症少。

Objective To analyze the effect of ankle arthroscopy in the treatment of synovial chondromatosis(SC)of ankle joint by combined anterior and posterior floating position approach.Methods 42 patients with SC ankle joints were selected as the research objects.They were treated with ankle arthroscopy technique before and after the floating position.The statistical comparison was performed before and 3 months after the operation.6 months and 12 months pain degree[Pain Visual Analog Scale(VAS)],ankle joint function[American Foot and Ankle Association Ankle and Hindfoot Score Scale(AOFAS Score)],complication status.Results The VAS scores were lower at 3 months,6 months,and 12 months after surgery,and with time,the VAS scores gradually decreased(P<0.05);AOFAS at 3 months,6 months,and 12 months after surgery,The score was higher than before operation,and with time,the AOFAS score gradually increased(P<0.05);the complication rate was 4.76%(2/42).Conclusion Floating position anterior and posterior combined approach ankle arthroscopy technique can reduce pain and promote the recovery of ankle joint function with fewer complications when treating patients with ankle joint SC.