Ankle Arthroscopy Combined With Acupuncture And Moxibustion In The Treatment Of Talar Osteochondral Injury

Purpose:To observe the clinical effect of ankle arthroscopy combined with acupuncture on talus cartilage injury.Material and method: From April 2016 to January 2017,40 patients with talus cartilage injury were treated with ankle arthroscopy in Department of Osteology,affiliated Hospital of Liaoning University of traditional Chinese Medicine,including 21 male patients and 19 female patients.The patients were 18 to 55 years old,with an average age of 36.3 years.None of the patients had been treated by ankle surgery before.All the patients were randomly divided into two groups by random digital table.One group is the control group,only through the ankle arthroscopy surgery treatment,postoperative routine application of anti-inflammatory,to prevent In addition to the treatment of the control group,the experimental group was treated with local acupuncture after operation.After getting qi,the patients were treated with acupuncture and moxibustion for 20 minutes,once a day,each time fixed 4 points,Fifteen times of acupuncture and moxibustion treatment were performed during hospitalization.Visual analog pain score(VAS)and posterior foot and ankle joint score(AOFAS)were used to evaluate the pain status and function of the patients before,6 and 12 months after operation,respectively.Statistical calculation and analysis were carried out.Results: 1.All 40 patients were followed up for 6 months and 12 months after operation.2.The VAS score of control group was 4.75 ±0.71 before operation,3.15 ±0.58 at 6 months after operation,and 1.35 ±0.48 at 12 months after operation.The AOFAS score was(58.15 + 1.81)scores and 6 months after the operation(78.5 + 1.35),and 12 months after the operation(89.1 + 1.20).3.The VAS score of experimental group was 4.45 ±0.67 before operation,2.0 ±0.91 at 6 months after operation,0.75 ±0.54 at 12 months after operation.The AOFAS score was 57.8 ±1.39 before operation,82.3 ±1.59 at 6 months after operation, and 91.1 ±1.34 at 12 months after operation.Conclusion: The effect of local acupuncture combined with ankle arthroscopy in the treatment of osteochondral injury of talus is better than that of the simple application of ankle arthroscopy.The combination of the two can not only effectively relieve pain,but also improve the effect of postoperative treatment,greatly reduce the pain caused by the disease and improve the quality of life of patients.