目的:分析关节镜下行Brostom-Gould修复术治疗慢性踝关节不稳定的短期临床疗效.方法:回顾性分析2018年6月至2022年6月收治慢性踝关节不稳定并行关节镜下踝关节韧带Brostrom-Gould修复术患者26例,所有纳入研究的患者均收集术前和术后6个月、12个月的随访视觉模拟量表(VAS)评分、美国足踝矫形学会(American Orthopaedic Foot &-Ankle Society,AOFAS)踝和足评分和简易36健康调查(Short-Form 36 Health Survey,SF-36)评分.结果:术后6个月和12个月患者踝关节VAS评分较术前明显改善,差异有统计学意义(P<0.05);术后6个月和12个月患者踝关节AOFAS评分均明显高于术前,差异有统计学意义(P<0.05).术后6个月和12个月患者SF-36(物理功能量表和心理健康量表)评分均明显高于术前,差异有统计学意义(P<0.05).结论:慢性踝关节不稳患者行关节镜下Brostrom-Gould修复术的短期随访临床疗效满意,并且有住院周期短、减轻患者创伤等优势.
Comparison of Therapeutic Effects between Arthroscopy and Open Brostrom-Gould Repair Surgery for Chronic Ankle Instability
Objective:To analyze the short-term clinical efficacy of arthroscopic rows of Brostrom-Gould repair in the treat-ment of chronic ankle instability.Methods:A retrospective analysis was conducted on 26 patients with chronic ankle insta-bility from June 2018 to June 2022,who underwent arthroscopic Brostrom-Gould repair of ankle ligaments.All patients included in the study collected visual analogue scale(VAS)scores at preoperative and postoperative 6 and 12 months,the American Orthopaedic Foot &-Ankle Society(AOFAS)scores and Short-Form 36 Health Survey(SF-36)scores.Results:The VAS scores of the ankle joint in patients at 6 and 12 months after surgery were significantly improved compared to preoperative,and the AOFAS scores of the ankle joint in patients at 6 and 12 months after surgery were significantly high-er than preoperative(P<0.05).The SF-36 scores(physical function scale,mental health scale)of patients at 6 and 12 months after surgery were significantly higher than those before surgery(P<0.05).Conclusion:Short-term follow-up of arthroscopic Brostrom-Gould repair in patients with chronic ankle instability can satisfy the clinical efficacy,and has advantages such as short hospitalization period and reduced patient trauma.
arthroscopyligament repair surgeryvisual analogue scale scoreAmerican orthopaedic foot and ankle society scoreshort-form 36 health survey(SF-36)