重庆医学2013，Vol.42Issue(19)：2237-2239,3.DOI:10.3969/j.issn.1671-8348.2013.19.020
关节镜手术治疗14例踝关节撞击综合征的临床研究
Clinical application of arthroscopy on ankle impingement in 14 cases
龙浩 1董伟强 1白波 1郭志勇1
作者信息
- 1. 广州医学院第四附属医院骨科,广州511447
- 折叠
摘要
Abstract
Objective To evaluate the clinical effect of arthroscopy on ankle impingement.Methods This study consisted of 14 patients.Form March 2005 to December 2011,all the patients treated via arthroscopy surgery that sufferfrom ankle impingement were selected,including 10 cases with soft tissue impingement and 4 cases with osteal impingement.There were some osteophyte proliferation under the anterior border of tibia or aloft the talus.The surgeon checked the ankle joint in orderly including medial malleolus,medial talus,tibial astragaloid joint,and talus fornix.And the rope-like scars that come from the talocrural joint and later al sulcus clearance were checked.The articular cartilage were repaired,and bore some holes on the zone of the subchondral bone with a kirschner wire.The osteophyma were wiped off by abrasive drilling in the patients with osteal impingement.Results All patients were followed for 6-12 (mean 8.0) months.The efficacy was evaluated by the American Orthopedic Foot and Ankle Society (AOFAS).There were 9 cases in excellent,3cases in good grade,and 2 cases in medium grade.The excellent and good rate was up to 86％.Among the 14 cases,there were no complications such as postoperative infection,neurologic damage,and injury of blood vessel.Conclusion It showed that arthroscopy surgery is an effective therapeutic method for ankle impingement.关键词
踝关节/关节镜/磁共振成像/撞击综合征Key words
ankle joint/ arthroscopy/ magnetic resonance imaging / impingement syndrome引用本文复制引用
龙浩,董伟强,白波,郭志勇..关节镜手术治疗14例踝关节撞击综合征的临床研究[J].重庆医学,2013,42(19):2237-2239,3.
