目的探讨踝创伤性关节炎的关节镜微创治疗效果。方法选取我院收治的48例踝关节骨折后创伤性关节炎患者,给予患者踝关节镜微手术治疗,利用关节镜对患者的踝关节病变情况进行观察。结果手术中通过踝关节镜观察48例患者为慢性滑膜炎性增生,21例患者为胫骨下端前缘骨赘,11例患者为距骨颈部骨赘,18例为距骨关节软骨损伤,12例为胫骨关节软骨损伤,4例为游离体。手术后42 h 7例患者伴有轻度肿胀、关节疼痛症状,1周后好转,其余患者均无明显关节疼痛症状。术后对48例患者进行随访,随访时间为12-24个月,平均为17.8个月;患者踝关节评分优良率为87.5%。结论给予踝关节骨折后创伤性关节炎患者关节镜微创治疗有助于患者康复,临床效果显著,值得推广和应用。
Objective To study the clinical effect of total knee arthroplasty for severe osteoarthritis of the knee.Methods 25 patients with osteoarthritis (30 knees) had been performed to total knee arthroplasty (TKA),and analyzed by HSS knee score system.The average follow-up time was 27 months.Results All patient acquired excellent improvement in pain,function and range of motion (ROM),especially in pain improvement.Among the general evaluation there were 25 best knees (83.3%),3 better knees (10%),2 poor (6.6%).The excellent rate was 93.3%.Among them,2 case occured deep venousthrombosis.Conclusion TKA is an execellent method in the treatment of severe osteoarthritis.
