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关节镜辅助下治疗踝关节骨折合并距骨软骨损伤的疗效对比

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Author:: No author available

Journal Title:: Journal of BingTuan Medicine

Issue:: 1

DOI:: 10.3969/j.issn.1672-4356.2024.01.008

Key Word:: No keyword available

Abstract：目的:踝关节镜是发现和治疗急性踝关节骨折伴发关节内病变的有效工具.本研究的目的是比较关节镜辅助下微骨折术与清理术治疗踝关节骨折合并距骨软骨损伤的疗效.方法:采用关节镜下清理术治疗踝关节骨折11例,关节镜下微骨折术治疗踝关节骨折16例.比较两组术后视觉模拟评分(VAS),美国矫形外科足和踝关节协会踝后足量表(AOFAS)评分.结果:两组在年龄、性别、受伤侧、Lauge Hensen分型方面,差异无统计学意义(P>0.05).术后微骨折组的VAS评分低于清理组,差异有统计学意义(P<0.05);术后微骨折组的AOFAS评分高于清理组,差异有统计学意义(P<0.05).结论:合并软骨损伤的踝关节骨折的治疗,微骨折术可获得比清理术更成功的临床效果.

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