摘要
目的:探讨Brostr(o)m术式对慢性踝关节外侧副韧带损伤的临床疗效及对疼痛的影响。方法:将本院2017-06~2020-06收治的90例行手术治疗的慢性踝关节外侧副韧带损伤患者,按手术方式的不同分为A组和B组,各45例,A组给予解剖修复术,B组给予Brostr(o)m术,术后随访12个月。比较两组患者手术指标,术后8周、3个月、6个月、12个月踝-后足(AOFAS)评分与疼痛评分以及不良反应发生情况。结果:两组患者手术时间差异无统计学意义(P>0.05),B组切口长度短于A组,住院天数短于A组(P<0.05),与术前相比,术后8周、3个月、6个月、12个月AOFAS评分均上升,两组术后8周、3个月、6个月、12个月AOFAS评分差异均有统计学意义(P<0.05),与术前相比,术后8周、3个月、6个月、12个月疼痛评分均降低,两组术后8周、3个月、6个月、12个月疼痛评分差异均有统计学意义(P<0.05),两组患者并发症发生率差异无统计学意义(P>0.05)。结论:Brostr(o)m术式可有效改善慢性踝关节外侧副韧带损伤患者踝关节功能,减小切口长度,缩短住院时间,降低疼痛水平,安全性较高且疗效确切。
Objective:To investigate the clinical effect of brostr(o)m operation on chronic lateral collateral ligament injury of ankle and its effect on pain.Methods:90 patients with chronic lateral collateral ligament injury of ankle treated surgically in our hospital from June 2017 to June 2020 were divided into group A and group B,with 45 cases in each group.Group A was treated with anatomical repair and group B was treated with brostr(o)M.the patients were followed up for 12 months.The operative indexes,ankle hindfoot(AOFAS)score,pain score and adverse reactions were compared between the two groups at 8 weeks,3 months,6 months and 12 months after operation.Results:There was no significant difference in operation time between the two groups(P>0.05).The incision length in group B was lower than that in group A,and the length of hospital stay was shorter than that in group A(P<0.05).Compared with before operation,the AOFAS scores increased at 8 weeks,3 months,6 months and 12 months after operation.There were significant differences in AOFAS scores at 8 weeks,3 months,6 months and 12 months after operation between the two groups(P<0.05)The pain scores decreased at 6 and 12 months.There was significant difference in the pain scores at 8 weeks,3 months,6 months and 12 months between the two groups(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusion:Brostr(o)m operation can effectively improve the surgical indexes and ankle function of patients with chronic lateral collateral ligament injury of ankle,reduce the level of pain,have high safety and definite curative effect.
作者
李鹏鹤
王挺
李国闯
LI Peng-he;WANG Ting;LI Guo-chuang(Department of Orthopedics,Nanyang Central Hospital,Nanyang 473000,China)
出处
《黑龙江医药科学》
2023年第3期22-24,共3页
Heilongjiang Medicine and Pharmacy
基金
2018年度河南省科技计划项目(南阳部分),编号:182102310466。
关键词
踝关节
外侧副韧带损伤
关节镜
ankle joint
lateral collateral ligament injury
arthroscope