非牵引漂浮体位在前后踝撞击症关节镜手术中的应用

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Abstract Objective To explore the method and clinical effect of non-traction floating body position in arthroscopic surgery.Methods Thirty-three patients with anterior and posterior ankle impingement were randomly divided into the control group and observation group. The normal supine position was adopted in the control group, while non-traction floating body arthroscopic surgery was used in the observation group. The duration of surgery, blood loss and surgical effect were observed in the two groups of patients, and follow-up of at least one year involved the angle of the joints, AOFAS subjective function score, VAS score and related complications.Results The duration of surgery was (1.5±0.30) h in the observation group, and (2.0±0.4) h in the control group(P<0.01). The blood loss volume was 5-10ml in both groups, so there was no significant difference. The stretching back angle and plantar flexion angle of patients in the two groups became larger after treatment(P<0.05), but there was no statistically significant difference between the two groups. There was significant difference between the two groups of patients before treatment and one month postoperatively in the AOFAS score or VAS score (P<0.05), there was statistically significant difference one month and three months after operation (P<0.05), but the scores of the control group and observation group patients were not significantly different. The surgical effect was good in all the patients, with no obvious postoperative complications.Conclusions Ankle impingement treated by non-traction floating position can remove the osteophyte of ankles, simplify surgical procedures, prevent secondary disinfection during surgery and achieve satisfactory clinical efficacy.

Key words： floating position ankle joint collision injury

Received: 10 January 2018

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	Articles by authors
	ZHANG Di
	XIAO Rui
	and DING Qi

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ZHANG Di,XIAO Rui,and DING Qi. Surgical method and clinical effect of non-traction floating position in treating ankle impingement[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(7): 698-697.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2018/V29/I7/698

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