Volume 29, Issue 4, 2020
DOI: 10.24205/03276716.2020.1503
Clinical Comparative Study of Two Kinds of Minimally Invasive Operation in The Treatment of Patients with Small Area Talar Osteochondral Injury
Abstract
Objective: To investigate the clinical effects and safety differences of arthroscopic Kirschner wire drilling and arthroscopic microfracture in the treatment of patients with small area talar osteochondral injury.
Methods: Clinical data of 186 patients with small area talar osteochondral injury were retrospectively chosen in the period from January 2015 to June 2018 in our hospital and divided into 2 groups according to operation scheme differences including Kirschner group (88 patients) with arthroscopic Kirschner wire drilling and microfracture group (98 patients) with arthroscopic microfracture; and the excellent and good rate in ankle function, pain VAS score, AOFAS score, AAS score and Berndt Harty injury stage of ankle joint before and after operation and complications occurrences of 2 groups were compared.
Results: There was no significant difference in the excellent and good rate in ankle function between 2 groups (P>0.05). The pain VAS score at the last follow-up in 2 group were significantly less than before operation (P<0.05). The AOFAS score and AAS score at the last follow-up in 2 group were significantly more than before operation (P<0.05). There was no significant difference in the clinical index above at the last follow-up between 2 groups (P>0.05). There was no significant difference in the Berndt Harty injury stage of ankle joint at the last follow-up between 2 groups (P>0.05). No wound infection or neuromuscular injury was found and all the incisions healed in one stage and there was no re-operation cases in all patients at the follow-up process.
Conclusion: Arthroscopic Kirschner wire drilling and arthroscopic microfracture in the treatment of patients with small area talar osteochondral injury possess satisfactory overall efficacy and safety.
Keywords
Arthroscopy; surgery; talus; cartilage injury; clinical effects; safety