踝关节镜结合中药外洗治疗20例创伤性踝关节炎的临床观察

目的:探讨踝关节镜结合中药外洗治疗创伤性踝关节炎的疗效。方法:将40例创伤性踝关节炎患者随机分为治疗组和对照组,每组20例。均行关节镜检查,明确关节内病变状况,并对相应病变行镜下清理术,其中软骨损伤及退变26例,游离体形成3例,撞击综合征11例。治疗组采用踝关节镜结合中药外洗治疗,对照组仅采用踝关节镜治疗。术后采用美国足踝外科学会(AOFAS)后足踝评分表对踝关节功能状况进行评分。结果:两组有效率比较差异有统计学意义(P0.05);术后平均随访(14.2±8.4)个月(5~24个月),术后关节功能AOFAS评分治疗组改善为(83.4±11.6)分,对照组改善为(76.7±12.4)分,其中主观评分改善更为明显,差异具有统计学意义(P0.05)。结论:踝关节镜结合中药外洗治疗创伤性踝关节炎疗效较好,值得在临床推广。

Clinical Observation ofankle arthroscopy combined with external medicine wash treatment of traumaticankle arthritis

Objective To explore the ankle arthroscopy combined with external medicine wash treatment of traumatic ankle arthritis wash effect. Methods From March 2008 to March 2013 , treated 40 cases of traumatic ankle arthritis after arthroscopic ankle surgery patients , 16 males and 24 females ; aged 15 to 58 years, mean 32 years . Duration of 2 months to 4 years , with an average of 12 months. The 40 patients were randomly divided into treatment group and control group , 20 cases in each group. Underwent arthroscopic examination, a clear situation of intra - articular lesions , and the corresponding lesion debridement , in which cartilage injury and degeneration in 26 cases, 3 cases of free formation , impingement syndrome in 11 cases. The treatment group received a combination of ankle arthroscopy with external medicine wash treatment, the control group, only the use of ankle arthroscopy . American Orthopaedic Foot and Ankle Society after adoption （AOFAS） score sheet after ankle ankle functional status score. Results The two groups have more efficient significant difference （ P 〈 0. 05 ） ; mean follow - up （ 14. 2 ± 8.4） months （ 5 to 24 months ） , postoperative joint function AOFAS score for the treatment group improved （83.4 ± 11.6） points, improving the control group （76.7 ± 12.4） points, which is more subjective scores improved significantly. Statistical analysis showed that the total score difference was significant （ P 〈 0. 05 ） between the two groups. Conclusion Ankle arthroscopy combined with external medicine wash traumatic ankle arthritis better, worthy of promotion.