【摘要】 目的 对比关节镜下韧带解剖重建与解剖修复线带加强治疗慢性踝关节不稳的效果。方法 回顾性分析66例慢性踝关节不稳患者资料，将其分为镜下韧带解剖重建组(A组，n=28)和镜下韧带解剖修复并线带加强组(B组，n=38)。比较2组患者手术时间、术中出血；比较术前和术后4、8、12周VAS评分；比较术前和术后8、12、16周美国足踝外科协会(AOFAS)、足踝结果(FAOS)评分；比较术前、术后16周足踝功能(FAAM)评分。结果 A组患者手术时间长于B组(P<0.05)。A组患者术中出血多于B组(P<0.05)。术后4周A组患者VAS评分高于B组(P<0.05)。术后8、12周VAS评分比较差异无统计学意义(P>0.05)。术后12周B组AOFAS评分优于A组(P<0.05),术后8、16周AOFAS评分比较差异无统计学意义(P>0.05)。术后8周B组FAOS评分优于A组(P<0.05),术后12、16周FAOS评分组间差异无统计学意义(P>0.05)。术前、术后16周FAAM组间差异无统计学意义(P>0.05)。结论 慢性踝关节不稳在关节镜下韧带解剖修复线带加强和镜下韧带解剖重建治疗后短期随访有一样的临床疗效。更多还原

【Abstract】 Objective To compare the therapeutic effects of arthroscopic ligament anatomical reconstruction and anatomical repair with suture enhanced treatment for chronic ankle instability.Methods The data from 66 cases with chronic ankle instability were reviewed, and there were 28 cases underwent arthroscopic ligament anatomical reconstruction(Group A),and 38 cases underwent arthroscopic ligament anatomical repair with suture reinforcement(Group B).The surgical time and intraoperative bleeding were compared between two groups of patients; the preoperative and postoperative VAS scores at 4,8,and 12 weeks were compared; the preoperative and postoperative AOFAS and FAOS scores at 8,12,and 16 weeks were compared; the preoperative and 16 weeks ofter surgery FAAM scores were compared.Results The surgery time in Group A was longer than that in Group B(P<0.05).Group A had more intraoperative bleeding than Group B(P<0.05).There was significant difference in VAS scores between group A and group B four weeks after surgery(P<0.05).There was no statistically significant difference in VAS scores between 8 and 12 weeks after surgery(P>0.05).At 12 weeks after surgery, Group B had a better AOFAS score than Group A(P<0.05),while there was no statistically significant difference in AOFAS scores at 8 and 16 weeks postoperatively(P>0.05).At 8 weeks after surgery, Group B had a better FAOS score than Group A(P<0.05),while there was no statistically significant difference in FAOS scores between the groups at 12 and 16 weeks postoperatively(P>0.05).There was no significant difference between the FAAM groups before surgery and at the 16 weeks ofter surgery(P>0.05).Conclusion Arthroscopic ligament anatomical repair and suture reinforcement for chronic ankle instability have same clinical efficacy as arthroscopic ligament anatomical reconstruction in short-term follow-up.更多还原