踝关节三角韧带损伤的手术治疗及效果

Operative treatment and curative effects of the deltoid ligament injuries of the ankle joint

目的:探讨踝关节三角韧带损伤手术治疗的重要性。方法:2002年至2008年治疗伴有三角韧带损伤的踝关节骨折61例,男39例,女22例;年龄14～71岁,平均41岁。均采用切开复位和坚强内固定,并修复重建三角韧带,恢复踝关节内外侧结构的稳定性。结果:61例中59例切口Ⅰ期愈合;2例术后外踝伤口浅表感染,经换药于术后3周愈合,内踝伤口全部Ⅰ期愈合。全部病例获得随访,时间5～30个月。平均17个月。按疗效评定标准,本组优35例,良13例,可13例。结论:强调踝关节骨折切开解剖复位、坚强内固定的同时,应充分重视修复重建三角韧带。

Objective：To explore the operative methods and curative effects of the deltoid ligament injuries.Methods：From 2002 to 2008,all 61 patients with ankle fractures complicated with deltoid ligament injuries were treated with open reduction and firm internal fixation.Among the patients,39 patients were male and 22 patients were female,ranging in age from 14 to 71 years,with an average of 41 years.During the operation,the deltoid ligament was reconstructed to restore the medial and lateral stability of ankle joint.Results：All the patients were followed up ranged from 5 to 30 months,with an average of 17 months.Fifty nine patients had incision healed at the first stage;2 patients had superficial infections at lateral malleolus,and healed at the 3rd week after changing dressings.The incisions at the internal medial malleolus were all healed at the first stage.According to Qi evaluation criteria,35 patients got an excellent result,13 good and 13 fair.Conclusion：The deltoid ligament should be treated properly in the treatment of ankle joint fractures when open reduction and firm internal fixation were emphasized.