Analysis of the treatment effect of ankle arthrodesis on the traumatic arthritis of foot and ankle
踝关节融合术对足踝创伤性关节炎的治疗效果分析

摘要

目的 探究足踝创伤性关节炎患者以踝关节融合术治疗的效果。方法 选择2021年1月~2022年12月间，本院收治的足踝创伤性关节炎患者100例作为研究对象。设计对照研究，数字表法将纳入患者随机分为2组，50例/组。对照组行常规保守治疗，观察组行踝关节融合术治疗。比较两组：（1）治疗效果。（2）并发症发生率。（3）治疗前后疼痛评分。（4）治疗前后自主活动能力、踝关节稳定性。结果 （1）治疗效果中，观察组优良率96.00%，较对照组高（χ2=4.5000；P<0.05）。（2）并发症中，观察组发生率0.00%，较对照组低（χ2=4.1667；P<0.05）。（3）疼痛评分中，观察组治疗后VAS得分（3.26±1.02）分，较对照组低（T=6.9876；P<0.05）。（4）自主活动能力、踝关节稳定性中，观察组自主活动能力（16.88±2.06）分、1次步行最远距离（15.88±1.74）分、足部对线评分（8.06±1.34）分、踝关节稳定性评分（8.09±1.22）分，均较对照组高（T=13.6752；T=15.0873；T=7.9305；T=7.7004；P<0.05）。结论 足踝创伤性关节炎治疗中，踝关节融合术治疗效果良好，可减少并发症，减轻疼痛感，还可提高踝关节稳定性，恢复自主活动能力，促进康复，值得推广。

Abstract

Objective To explore the effect of ankle fusion in patients with traumatic arthritis of foot and ankle.
Methods 100 patients with traumatic arthritis between January 2021 and December 2,2022. Design a controlled study, the included patients will be randomized into 2 groups, 50 patients / group. The control group underwent conventional conservative treatment, and the observation group underwent ankle arthrodesis treatment. Compare the two groups: (1) the treatment effect.(2) Complication rate.(3) Pain scores before and after treatment.(4) Autonomous mobility and ankle stability before and after treatment.
Results (1) In the treatment effect, the excellent quality rate of the observation group was 96.00%, higher than that of the control group (χ2=4.5000; P <0.05).(2) Among the complications, the incidence rate in the observation group was 0.00%, lower than that in the control group (χ2=4.1667; P <0.05).(3) In the pain score, the posttreatment VAS score in the observation group (3.26 ± 1.02) was lower than that in the control group (T=6.9876; P <0.05).(4) In autonomous mobility and ankle stability, the observation group's autonomic mobility (16.88 ± 2.06), one longest walking distance (15.88 ± 1.74), foot alignment score (8.06 ± 1.34), and ankle stability score (8.09 ± 1.22) were higher than the control group (T=13.6752; T=15.0873; T=7.9305; T=7.7004; P <0.05).
Conclusion   In the treatment of traumatic arthritis of foot and ankle, the treatment of ankle arthrodesis has good results, which can reduce complications, reduce pain, improve ankle stability, restore voluntary mobility, and promote rehabilitation, which is worth promoting.