内侧入路关节镜下三联术式治疗顽固性跟痛症的临床效果

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Abstract To investigate the clinical effect of treating refractory calcaneodynia with medial approach arthroscopic triple operation. Methods From December 2017 to February 2019 in Wuhan Hospital of Traditional Chinese Medicine, Hubei Province, 20 patients (21 feet) with heel pain who failed to respond to systematic conservative treatment for more than six months were selected. Under the direct vision of the medial approach arthroscopy, the treatment was performed with a triple operation (plasma knife ablation and vaporization of metatarsal fascia, calcaneal osteophyte grinding, calcaneal drilling and decompression). The American Orthopaedic of foot and ankle society ankle hindfoot scale (AOFAS-AH) and visual analogue scale (VAS) were used to evaluate the clinical efficacy of the patients before and 6 to 10 months after surgery. Results All the incisions of the patients were healed at the first grade without nerve, vascular injury or other complications. The patients could carry out daily activities in the early stage after the operation. The median follow-up time was 8.7 (6.0-10.0) months, and the median operative time was 40.7 (30.0-60.0) min utes. Postoperative AOFAS-HA scores of patients were significantly increased (P ＜ 0.01), and postoperative VAS score were significantly decreased (P ＜ 0.01). Conclusion Triple-combinative arthroscopic operation with the medial approach is a treatment modality of intractable calcaneodynia. It has features of little trauma, quick recovery, safe and accurate operation. It can treat the cause of pain comprehensively, improve the function of foot movement well, and has reliable curative effect, which is worthy of clinical reference and further research and promotion of treatment.

Key words： Medial approach Plasma knife ablation vaporization release plantar fascia Calcaneal osteophyte grinding Calcaneus borehole decompression Intractable calcaneodynia Arthroscopy

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	LU Lin1 ZHANG Hanqing1 WANG Zhi1 CHEN Wei2 LI Shuanglei2

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LU Lin1 ZHANG Hanqing1 WANG Zhi1 CHEN Wei2 LI Shuanglei2. Clinical effect of treating refractory calcaneodynia with medial approach arthroscopic triple operation[J]. 中国医药导报, 2020, 17(33): 13-17.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I33/13

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