带线锚钉治疗踝关节骨折合并三角韧带损伤的效果

Clinical outcome of Twin Fix for treating the deltoid ligament injury associated with ankle fractures

目的分析带线锚钉手术治疗踝关节骨折合并三角韧带损伤的治疗效果。方法收集手术治疗伴有三角韧带断裂的踝关节骨折患者60例,均对三角韧带行带线锚钉手术修复,术后随访评价指标采用美国骨科协会足踝外科分会(AOFAS)评分系统。结果全部病例获得6~12月的随访,无骨折不愈合病例,未出现切口并发症等。2例患者出院后未遵医嘱制动,2周内下地出现内踝肿痛,复查,MRI示:三角韧带再次损伤,翻修后效果尚可。AOFAS足踝评分,其中优35例,良23例,差2例,优良率96.7%。结论带线锚钉手术治疗三角韧带损伤效果好,踝关节功能恢复快。

Objective To observe the clinical outcome of TwinFix for treating the dekoid ligament injury asso- ciated with ankle fractures. Mehtods A total of 60 patients with deltoid ligament injury treated were enrolled in this retrospective study. All patients received exploratory and repair operation. The clinical outcomes were evaluated based on American Orhopaedic Foot and Ankle Society （AOFAS） ankle score system. Results The follow-up duration of the 60 patients were 6- 12 months. There were no complications such as nonunion,infection, delaed union,etc. 2 cases found their ankles were swollen without following the doctor＇s advice, MRI revealed the reinjuried deltoid ligament. The out- come was well after renovation, and now the follow - up is still going on. About the AFOAS score system, there were 35 cases receiving excellent effect,23 good and 2 bab. The good and excellent rate was 96.7% （58/60）. Conclusions The clinical outcome of TwinFix for treating the deltoid ligament injury is good, it can make the quickly recovery of ankle joint function.