Arthroscopy combined with distraction arthroplasty to treat post-traumatic arthritis of ankle joint

doi:10.3877/cma.j.issn.1674-134X.2020.01.009

Abstract

Abstract:

Objective

To compare and analyze the clinical effect of arthroscopic surgery alone and arthroscopic surgery combined with distractionarthroplasty usingIlizarov external fixatorin the treatment of post-traumatic arthritis (PTA) of ankle joint.

Methods

From October 2016 to April 2018, 30 patients with early and medium stage of traumatic arthritis of ankle were analyzed retrospectively. Non-traumatic arthritis of ankle and end-stage PTA were excluded. Among them, those who underwent ankle arthroscopic surgery alone were classified into the control group (n=15), those who underwent arthroscopic surgery and distractionarthroplasty with Ilizarov external fixator joint were classified into the study group (n=15). The follow-up time were six months. The therapeutic effect, pain visual analogue scale (VAS), ankle joint function score (Kofoed score), and the change of quality of life were analyzed contrastively. Chi-square test or Fisher test was used for counting data and independent t-test was used for measurement data.

Results

The effective rate of treatment in the study group was higher than that in the control group (χ²=7.214, P<0.05), the VAS score of postoperative pain was significantly lower than that in the control group (t=10.342, P<0.05), the ankle joint function score (Kofoed score) was higher than that in the control group (t =10.452, P<0.05), and the quality of life in the study group was significantly higher than that in the control group (P <0.05).

Conclusion

In the treatment of early and mid-stage post-traumatic arthritis of ankle, the effect ofarthroscopic surgery combined with distractionarthroplasty is better than that of arthroscopic surgery alone, which can be a choice in clinical treatment, but the long-term effect needs further study.

Key words: Ankle joint, Wounds and injuries, Arthritis, Arthroscopy, Quality of life

Liaodong Lu, Dongwei Wang, Meng Wang. Arthroscopy combined with distraction arthroplasty to treat post-traumatic arthritis of ankle joint[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(01): 52-56.

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Figures/Tables 4

References 25

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分组	例数	性别(男/女)	年龄[岁，(±s)]	部位(例)		Scranton分级
分组	例数	性别(男/女)	年龄[岁，(±s)]	左踝	右踝	Ⅰ级	Ⅱ级	Ⅲ级
研究组	15	9/6	50.3±2.5	7	8	2	8	5
对照组	15	7/8	53.1±3.2	5	10	4	7	4
统计值	－	χ²＝1.456	t ＝1.765	χ²＝1.673		χ²＝1.463
P值	－	>0.05	>0.05	>0.05		>0.05

分组	例数	性别(男/女)	年龄[岁，(±s)]	部位(例)		Scranton分级
分组	例数	性别(男/女)	年龄[岁，(±s)]	左踝	右踝	Ⅰ级	Ⅱ级	Ⅲ级
研究组	15	9/6	50.3±2.5	7	8	2	8	5
对照组	15	7/8	53.1±3.2	5	10	4	7	4
统计值	－	χ²＝1.456	t ＝1.765	χ²＝1.673		χ²＝1.463
P值	－	>0.05	>0.05	>0.05		>0.05

组别	例数	显效[例，(%)]	有效[例，(%)]	无效[例，(%)]	有效率(%)
对照组	15	10(66.7)	4(26.6)	1(6.7)	93.3
研究组	15	13(86.7)	2(13.3)	0(0.0)	100.0
χ²值	－	－	－	－	7.214
P值	－	－	－	－	<0.05

组别	例数	显效[例，(%)]	有效[例，(%)]	无效[例，(%)]	有效率(%)
对照组	15	10(66.7)	4(26.6)	1(6.7)	93.3
研究组	15	13(86.7)	2(13.3)	0(0.0)	100.0
χ²值	－	－	－	－	7.214
P值	－	－	－	－	<0.05

组别	例数	VAS评分		t值	P值	组别	例数	Kofoed评分		t值	P值
组别	例数	治疗前	治疗后	t值	P值	组别	例数	治疗前	治疗后	t值	P值
对照组	15	8.2±2.4	4.1±1.3	10.456	<0.05	对照组	15	40.3±12.6	85.1±4.8	10.352	<0.05
研究组	15	7.9±2.3	3.2±1.1	9.687	<0.05	研究组	15	42.5±10.5	92.2±5.1	9.786	<0.05
t值	－	2.314	10.342	－	－	t值	－	1.623	10.452	－	－
P值	－	>0.05	<0.05	－	－	P值	－	>0.05	<0.05	－	－

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