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在CLAI的关节镜ATFL修复后加速康复:倾向匹配的队列研究

Canjun Zeng¹, Nian Sun¹, Yuxuan Wei¹

¹Department of Foot and Ankle Surgery, Center for Orthopedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, P.R. China.

Foot & ankle international

|October 15, 2025

概括

在前额关节 (ATFL) 修复后的加速康复方案 (APRP) 对慢性侧脚不稳定性 (CLAI) 是安全有效的. 早期的全力支和训练可以与传统方法相提并论,但手术前的ATFL质量是关键.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
康复科学康复科学康复科学

背景情况:

慢性侧脚不稳定性 (CLAI) 往往是前额关节 (ATFL) 损伤的结果.
关节镜ATFL修复是一种常见的CLAI手术治疗方法.
术后康复方案显著影响患者的治疗结果.

研究的目的:

评估关节镜ATFL修复后加速术后康复方案 (APRP) 的有效性和安全性.
在CLAI患者中,将APRP与传统的术后康复方案 (CPRP) 进行比较.
确定APRP后功能恢复的预测因素.

主要方法:

对接受关节镜ATFL修复的CLAI患者的回顾性查.
倾向性得分匹配以创建APRP和CPRP组 (1:2比).
评估临床结果,包括卡尔森评分,VAS疼痛,泰格纳评分,前部抽测试,并发症和ATFL质量评分 (ATFLQS).

主要成果:

在卡尔森和特格纳分数方面,APRP组与CPRP相比显示了可比的改善.
APRP组在统计学上表现出优异的VAS疼痛减轻,尽管临床意义尚不确定.
两组之间整体并发症率或ATFLQS没有显著差异.
在APRP组中,术前ATFLQS<2.5与非最佳功能恢复的风险增加有关.

结论:

对CLAI的关节镜ATFL修复带来了与APRP或没有APRP的可比结果.
早期的全体重,肌肉力量和平衡训练 (APRP) 是有效和安全的.
术前ATFL质量 (ATFLQS) 是预测APRP功能恢复的关键因素.

关键词:

在前面的 talofibular 带.慢性侧脚不稳定性慢性侧脚不稳定性承载着全部的重量.功能性结果的结果.康复康复康复康复康复康复

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