生物骨科材料与临床研究2025，Vol.22Issue(5)：55-59,5.DOI:10.3969/j.issn.1672-5972.2025.05.010
全镜下改良Broström术式治疗慢性踝关节不稳与切开手术的疗效对比研究
Comparison of all-inside arthroscopic and open surgery techniques by use of modified Broström procedure for treatment of chronic ankle instability
田竞 1韩天宇 1解冰1
作者信息
- 1. 北部战区总医院骨科,辽宁 沈阳,110016
- 折叠
摘要
Abstract
Objective To compare the clinical outcomes of the modified Broström procedure performed using all-inside arthroscopy with those of conventional open surgery for the treatment of chronic ankle instability(CAI).Methods Clinical data from CAI patients between July 2015 and July 2022 were analysed retrospectively.According to the inclusion and exclusion criteria,70 patients were selected and divided into two groups:An all-inside arthroscopic group(35 patients)and an open surgery group(35 patients).Both groups underwent the modified Broström procedure.Operation time and perioperative complications were recorded.The American Orthopaedic Foot&Ankle Society(AOFAS)ankle-hindfoot score,Karlsson score and visual analogue scale(VAS)were assessed at 3,6 and 12 months after surgery.Anterior talar translation and talar tilt angle were compared preoperatively and at 12 months postoperatively.The number of patients in each group who returned to their original exercise level was also recorded and compared.Results Three patients in the arthroscopic group lost follow-up,and 4 patients in the open surgery group lost follow-up.Finally,63 patients(32 in the arthroscopic group and 31 in the open surgery group)completed the one-year follow-up after surgery.There were no significant differences in operation time or perioperative complications(P>0.05).At each follow-up time point,the AOFAS scores,the Karlsson scores,and the VAS scores had improved significantly in both groups compared to preoperative levels(P<0.05).However,there were no significant differences in these scores between the two groups.At the 12-month follow-up,anterior talar translation and the talar tilt angle had significantly improved compared to preoperative levels in both groups(P<0.05),but there was no significant difference between the two groups(P>0.05).There was no significant difference in the proportion of patients returning to their original exercise level between the two groups(P>0.05).Conclusion For patients with CAI treated by the modified Broström procedure,there was no difference in early clinical outcomes between the all-inside arthroscopic and open surgery manners.关键词
关节镜/踝关节不稳/改良Broström术Key words
Arthroscopy/Ankle instability/Modified Broström procedure分类
医药卫生引用本文复制引用
田竞,韩天宇,解冰..全镜下改良Broström术式治疗慢性踝关节不稳与切开手术的疗效对比研究[J].生物骨科材料与临床研究,2025,22(5):55-59,5.
