关节镜下松解治疗非痉挛性腓肠肌挛缩
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兵器工业521医院

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The Evaluation of Arthroscopic Gastrocnemius Recession in the Treatment of Non-spastic Gastrocnemius Contracture
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Weapon industry 521 hospital

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    摘要:

    摘 要 : 目的 介绍关节镜下松解非痉挛性腓肠肌挛缩的手术方法,并评价其术后疗效。方法 回顾性分析2014年6月至2018年6月期间,在关节镜下对于17例(19足)非痉挛性腓肠肌挛缩患者进行腓肠肌腱膜松解。分别于术前、术后三月、末次随访时测量膝关节完全伸直位状态下踝关节的最大被动背伸角度,并记录术后并发症情况。结果 17例(19足)患者均获得随访,平均随访时间14个月(9月-18月),术前、术后三月、末次随访时踝关节最大被动背伸角度分别为(0.8±3.6)°、(14.8±2.5)°、(13.2±2.6)°。术前与术后三月相比踝关节背伸平均增加约14°,差异有统计学意义(P<0.01);术前与术后末次随访相比踝关节背伸平均增加约12°,差异有统计学意义(P<0.01)。结论 内镜下松解非痉挛性腓肠肌挛缩术后踝关节背伸角度改善满意,切口微创、美观,术后并发症少,操作简便,是治疗非痉挛性腓肠肌挛缩微创且有效的方法。

    Abstract:

    Abstract Objective The purpose of this paper is to introduce the surgical method of arthroscopic gastrocnemius recession for non-spastic gastrocnemius contracture and evaluate its postoperative effect. Methods From June 2014 to June 2018, 17 patients (19 feet) with non-spastic gastrocnemius contracture were treated with arthroscopy in our hospital. The maximal angle of dorsiflexion in the ankle was measured before the operation, three months after the operation and at the last follow-up while the knee fully extended. In addition, the patient's postoperative complications were recorded. Results All the 17 patients (19 feet) were followed up for an average of 14 months (9 months to 18 months). The maximum passive dorsiflexion angle of the ankle was (0.8 ±3.6) °, (14.8 ±2.5) °and (13.2 ±2.6) °, respectively. Compared with 3 months after the operation, the ankle dorsiflexion of the patients increased by about 14 °on average, and the difference was statistically significant (P < 0.01). Compared with the last follow-up , the average increase of ankle dorsum flexion was about 12 °, and the difference was statistically significant (P < 0.01). Conclusion It is found that the improvement of dorsiflexion in the ankle after the endoscopic release of non-spastic gastrocnemius contracture is relatively satisfactory. Among them, the method of the minimally invasive and aesthetic incision can reduce the occurrence of postoperative complications, and the operation is simple. This is also a minimally invasive and effective method for the treatment of non-spastic gastrocnemius contracture.

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  • 收稿日期:2019-06-16
  • 最后修改日期:2020-02-21
  • 录用日期:2020-03-09
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