[1]刘晨,周磊①,胡跃林,等.关节镜微创手术治疗踝关节继发性骨关节炎[J].中国微创外科杂志,2009,09(11):1029-1031.
　Liu Chen*,Zhou Lei,Hu Yuelin*,et al.Arthroscopy for Secondary Osteoarthrosis of the Ankle Joint[J].Chinese Journal of Minimally Invasive Surgery,2009,09(11):1029-1031.
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关节镜微创手术治疗踝关节继发性骨关节炎()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年11期
页码:
1029-1031
栏目:
出版日期:
2009-11-30

文章信息/Info

Title:
Arthroscopy for Secondary Osteoarthrosis of the Ankle Joint
作者:
刘晨; 周磊①; 胡跃林; 焦晨; 郭秦伟; 敖英芳
北京大学第三医院运动医学研究所，北京100191
Author(s):
Liu Chen*;  Zhou Lei;  Hu Yuelin*;  et al.
*Institute of Sports Medicine, Peking University Third Hospital, Beijing 100191, China
关键词:
踝关节; 骨关节炎; 关节镜
Keywords:
Ankle; Osteoarthrosis; Arthroscopy
分类号:
R684.3
文献标志码:
A
摘要:
目的分析踝关节骨关节炎关节镜下病灶清理术的临床效果。方法2000年3月～2006年2月对62例踝关节骨关节炎行踝关节镜下病灶清理术治疗，52例获随访。分别采用美国足踝外科AOFAS踝－后足评分系统、改良McGuire踝关节评分系统、Mazur踝关节评分系统进行术后疗效评定。结果52例随访12～84个月，平均36.2个月。术后3种评分均明显提高，分别从术前的（57.6±12.8）分、（56.5±14.9）分和（61.5±12.6）分提高至（82.4±11.5）分（t=11.02, P=000）、（84.8±12.6）分（t=9.52,P=0.00）和（84.1±14.7）分（t=8.70,P=0.00）；优良率分别为80.8%（42/52）、827%（43/52）、84.6%（44/52）。结论关节镜下病灶清理术治疗踝关节骨关节炎的效果良好，尤其适用于轻中度踝关节骨关节炎和游离体患者。
Abstract:
ObjectiveTo analyze the outcomes of arthroscopy for secondary osteoarthrosis of the ankle joint.MethodsFrom March 2000 to February 2006, 62 patients with osteoarthrosis of the ankle joint were treated with arthroscopy in our department. Among the cases, 52 received followup. We analyzed the therapeutic outcomes by evaluating the AOFAS, McGuire, and Mazur scores.ResultsThe 52 cases were followed up for 12 to 84 months (mean, 36.2 months). During the followup, we observed significantly increased scores of AOFAS, McGuire, and Mazur ［postoperation vs. peroperation: 57.6±12.8, 56.5±14.9, and 61.5±12.6 vs. 82.4±11.5 (t=11.02, P=0.00), 84.8±12.6 (t=9.52, P=0.00), and 84.1±14.7 (t=8.70, P=0.00)］ with the rate of excellent and good results of 80.8% (42/52), 82.7% (43/52), and 84.6% (44/52).ConclusionsArthroscopic treatment is effective for osteoarthrosis of the ankle joint with satisfactory results especially in patients with mild or moderate osteoarthrosis or those with loose bodies.

参考文献/References:

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备注/Memo

备注/Memo:
胡跃林通讯作者 ①（胜利油田中心医院骨外科，东营257000）
更新日期/Last Update: 2014-01-08