关节镜下跟骨骨刺去除联合带线锚钉固定跖筋膜的研究（附17例报告）

Removal of calcaneus bone spur under arthroscopy using fixation of metatarsal fascia with suture anchor (17 cases)

摘要:

探讨关节镜下跟骨骨刺去除联合带线锚钉固定跖筋膜的临床疗效。方法?通过对17例符合跟骨骨刺的病例行关节镜下跟骨骨刺去除联合带线锚钉固定跖筋膜进行疗效观察。结果?所有病例均得到有效随访，所有患者疼痛均得到有效缓解，X片显示骨刺消除未再生。无切口感染病例，其中5例患者伤口延迟愈合，2例患者切口愈合后负重行走再裂开，细菌培养均阴性。总有效率100.00%，切口正常愈合率70.58%。结论?关节镜下跟骨骨刺去除联合带线锚钉固定跖筋膜：①创伤小，切口小，2.0?cm左右，出血少；②关节镜视野清晰，有效彻底清除病灶，缩短手术时间；③缝合跖筋膜，维持、修复了足弓的稳定性；④术后恢复快，切口美观，住院时间短。

Abstract:

To study the clinical effect of arthroscopic removal of calcaneus bone spur combined with suture anchor for fixation of plantar fascia.?Methods?We observe and studied the effect of arthroscopic calcaneal spur removal combined with tape anchor fixation for plantar fascia in 17 calcaneal spur patients.?Results?All the cases were followed up effectively. All the patients were relieved of pain effectively. X showed that the bone spur did not regenerate. No wound infection cases, of which 5 cases of wound delayed healing, 2 cases of wound healing after wound healing and then split, bacterial culture was negative. The total effective rate was 100%, and the normal healing rate of the incision was 70.58%.?Conclusion?The removal of the calcaneus bone spur under arthroscope to remove the combined suture anchor and fixation of the plantar fascia was small: ①The incision 2.0?cm around, and the bleeding was less. ②Clear view of arthroscopy, effective and thorough clearance of the focus, and shorten the operation time. ③Suture the plantar fascia to maintain and repair the stability of the arch. ④After the operation, the recovery was fast, the incision was beautiful and the time of hospitalization was short.