针刀治疗前外侧踝关节撞击综合征疗效观察OA

Objective To observe the clinical efficacy of acupotomy in the treatment of anterolateral ankle impingement syn‐drome(ALAIS).Methods A total of 60 patients diagnosed with ALAIS treated at the Outpatient Department of Orthopedics and Traumatology,Suzhou Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Chinese Medicine from December 2024 to November 2025 were enrolled and divided into a control group and an observation group using a random number table meth‐od,with 30 cases in each group.The control group received oral meloxicam at 7.5 mg once daily for 20 days in addition to routine treatment,while the observation group received acupotomy treatment once every 10 days for a total of 2 sessions in addition to rou‐tine treatment.Before and after treatment,ankle range of motion was measured using a goniometer,dynamic balance was assessed using the Y-balance test(YBT),ankle function was evaluated using the American Orthopaedic Foot and Ankle Society(AOFAS)An‐kle-Hindfoot Score,and foot and ankle-related quality of life was assessed using the Foot and Ankle Outcome Score(FAOS).Ad‐verse events were also recorded.Results(1)Ankle range of motion:Compared with those before treatment,ankle dorsiflexion,in‐version,and eversion range of motion in the control group increased significantly after treatment(P<0.05),and ankle dorsiflexion,plantarflexion,inversion,and eversion range of motion in the observation group increased significantly after treatment(P<0.05).Compared with the control group,ankle dorsiflexion,and inversion range of motion in the observation group were significantly greater after treatment(P<0.05).(2)YBT scores:Compared with those before treatment,the anterior reach,posteromedial reach,posterolateral reach,and composite YBT scores in both groups increased significantly after treatment(P<0.05).Compared with the control group,the anterior,posteromedial,posterolateral,and composite scores of YBT in the observation group were significantly higher after treatment(P<0.05).(3)AOFAS ankle-hindfoot scores:Compared with those before treatment,the pain,function,align‐ment,and total scores of AOFAS in both groups increased significantly after treatment(P<0.05).Compared with the control group,the pain,function,alignment,and total scores of AOFAS in the observation group were significantly higher after treatment(P<0.05).(4)FAOS scores:Compared with those before treatment,the subscores of FAOS pain,other symptoms,activities of daily living,sports and recreational function,and quality of life in both groups increased significantly after treatment(P<0.05).Compared with the control group,the subscores of FAOS pain,other symptoms,sports and recreational function,and quality of life in the observa‐tion group were significantly higher after treatment(P<0.05).(5)No adverse reactions occurred in either group during the study.Con‐clusion Acupotomy can effectively improve ankle range of motion,enhance dynamic balance ability,restore ankle-foot function,and improve quality of life for patients with ALAIS,with favorable short-term safety.