改良内侧入路踝关节融合术对终末期踝关节炎的治疗效果

孟祥林; 杜瑞; 付炳金; 孙广超; 杨佳林; 朱晓东

doi:10.7619/jcmp.20200835

改良内侧入路踝关节融合术对终末期踝关节炎的治疗效果

Treatment efficacy of ankle fusion by modified medial incision approach on end-stage ankle arthritis

摘要

摘要:
目的探讨改良内侧入路踝关节融合术治疗终末期踝关节炎的临床疗效。
方法选取终末期踝关节炎患者30例作为研究对象，所有患者均予以改良内侧入路踝关节融合术治疗。比较患者术前、术后美国矫形外科足踝协会（AOFAS）踝-后足功能评分、视觉模拟评分法（VAS）评分、健康状况调查量表（SF-36）评分情况。
结果术后，所有患者AOFAS踝-后足功能评分、SF-36评分均高于术前，VAS评分均低于术前，差异有统计学意义（P < 0.05）。
结论改良内侧入路踝关节融合术治疗终末期踝关节炎疗效显著，患者满意率较高。

Abstract:
Objective To explore clinical efficacy of ankle fusion by modified medial incision approach on end-stage ankle arthritis.
Methods A total of 30 patients with end-stage ankle arthritis were selected as study objects. All of these patients underwent ankle fusion by modified medial incision approach. The American Society for Orthopaedic Foot and Ankle Surgery (AOFAS) ankle-hindfoot functional score, Visual Analogue Scale (VAS) score and Short-form Health Status Questionnaire (SF-36) score were compared before and after surgery were compared.
Results The scores of AOFAS ankle-hindfoot functional score and SF-36 score after operation were all significantly higher than those before operation, and VAS score was significantly lower than that before operation(P < 0.05).
Conclusion Ankle fusion by modified medial incision approach has significant efficacy and higher satisfaction rate for end-stage ankle arthritis.

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