关节镜手术治疗踝关节不稳越来越受欢迎。几项研究显示,与开放手术后的功能结果相似,没有增加并发症。这项研究的目的是评估关节镜手术治疗慢性踝关节外侧不稳定后的恢复运动(RTS)率和时间。
关节镜手术治疗慢性踝关节外侧不稳定后,RTS的发生率和时间令人满意。
这项单中心回顾性研究包括对慢性踝关节外侧不稳定进行关节镜检查的患者,没有其他程序,2014年2月至2017年5月。我们评估了RTS的时间和速率,以及与RTS相关的因素,如动机,手术前的运动水平以及受伤是否与工作有关。随访至少1年。
在纳入的40名患者中,30(75%)回到他们的主要运动,中位数为6个月后。此外,22(55%)患者在手术后12个月内恢复了相同或更高水平的主要运动,他们的中位术后随访时间为29个月(范围,13-61).AOFAS评分明显提高,从手术前的67(30-90)到末次随访时的88.5(39-100)(p<0.001)。在这两个时间点之间,数字疼痛评分显着下降,从6(0-10)到1(0-10)(p<0.001)。通过多变量分析,手术前的高水平动机是与手术后12个月内相同或更高水平的RTS显着相关的主要因素(优势比,16.47;95CI,3.33-81.20;p=0.007)。持续性疼痛在工伤患者中更为常见(p=0.016)。
在12个月时,整体RTS率为75%,55%的患者恢复到相同或更高的水平。RTS的中位时间为6个月(4-8个月)。RTS的发生率和时间与更大的术前动机独立相关。
IV,回顾性观察性队列研究。
Arthroscopic surgery for treating ankle instability is increasingly popular. Several studies showed similar functional outcomes to those seen after open surgery, with no increase in complications. The objective of this study was to evaluate the return-to-sports (RTS) rate and time after arthroscopic surgery to treat chronic lateral ankle instability.
The rate and time of RTS are satisfactory after arthroscopic surgery to treat chronic lateral ankle instability.
This single-centre retrospective study included patients managed arthroscopically for chronic lateral ankle instability, with no other procedures, between February 2014 and May 2017. We evaluated the time and rate of RTS, as well as factors associated with RTS such as motivation, athletic level before surgery and whether the injury was work-related. Follow-up was at least 1 year.
Of the 40 included patients, 30 (75%) returned to their main sport, after a median of 6 months. Moreover, 22 (55%) patients resumed their main sport at the same or a higher level within 12 months after surgery, their median postoperative follow-up being 29 months (range, 13-61). The AOFAS score improved significantly, from 67 (30-90) before surgery to 88.5 (39-100) at last follow-up (p<0.001). The numerical pain score decreased significantly between these two timepoints, from 6 (0-10) to 1 (0-10) (p<0.001). By multivariate analysis, a high level of motivation before surgery was the main factor significantly associated with RTS at the same or a higher level within 12 months after surgery (odds ratio, 16.47; 95%CI, 3.33-81.20; p=0.007). Persistent pain was more common in patients with work-related injuries (p=0.016).
At 12 months, the RTS rate was 75% overall, with 55% of patients returning to the same or a higher level. Median time to RTS was 6 months (4-8). Both the rate of and the time to RTS were independently associated with greater preoperative motivation.
IV, retrospective observational cohort study.