关节镜下微创跟骨成形术治疗Haglund综合征的临床疗效

Clinical effect of arthroscopic minimally invasive calcanealplasty in treatment of Haglund syndrome

摘要:

探讨关节镜微创跟骨成形术治疗Haglund综合征的临床疗效。方法 选取2015年6月－2017年7月沧州市人民医院骨一科采用关节镜微创跟骨成形术治疗Haglund综合征的15例患者，于术前、术后3和12个月分别采用美国足踝外科协会（AOFAS）后踝关节评分及疼痛视觉模拟评分（VAS）评价临床效果，运用SPSS 22.0软件对数据进行分析。结果 15例患者均获得随访，随访时间12～24个月，平均17个月。与术前比较，术后12个月AOFAS后踝关节评分明显高于术前和术后3个月，而VAS评分明显低于术前和术后3个月。结论 关节镜微创跟骨成形术治疗Haglund综合征术创伤小、恢复快，临床效果显著。

Abstract:

To explore the clinical effect of arthroscopic minimally invasive calcanealplasty in treatment of Haglund syndrome. Methods 15 patients with Haglund syndrome treated by arthroscopic minimally invasive calcanealplasty from June 2015 to July 2017, the American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score and pain visual analogue scale (VAS) score were used to evaluate clinical outcomes preoperative, at 3 months postoperative and at 12 months postoperative, the data was analyzed by SPSS software. Results All these 15 patients were followed up for 12 ~ 24 months, with an average of 17 months. Compared with preoperative, AOFAS hindfoot score at 12 months postoperative was significantly higher than preoperative and at 3 months postoperative, VAS score at 12 months postoperative was significantly lower than preoperative and at 3 months postoperative. Conclusion Arthroscopic minimally invasive calcanealplasty for the treatment of Haglund syndrome has less trauma and quick recovery, and the clinical effect was significant.