踝关节骨折合并三角韧带损伤的修复

Repair of Ankle Fracture combined with Triangular Ligament Injury

目的:探讨三角韧带带线锚钉修复术在踝关节骨折伴三角韧带损伤中的治疗效果。方法:选取我院骨科48例踝关节骨折伴三角韧带损伤患者随机分成两组,对照组给予手术治疗但不修复三角韧带,修复组在对照组基础上给予带线锚钉三角韧带修复术,术中及术后评价手术时间、出血量、内踝间隙、手术并发症及踝—后足功能评分。结果:两组在手术时间及手术出血量方面的差异均无统计学意义。但修复组术后1年的内踝间隙低于对照组,术后并发症出现例数较对照组少,且术后90d踝—后足功能评分优于对照组。结论:对于踝关节骨折伴三角韧带损伤患者,应用带线锚钉固定术对其进行三角韧带修复的效果较好。

Objective:To investigate the effect of the repair of deltoid ligament line anchor in the fracture of the ankle joint and the injury of the deltoid ligament.Methods:48 patients with ankle fracture and triangular ligament injury in our hospital were selected and randomly divided into two groups.The control group received surgical treatment but did not repair the deltoid ligament.The repair group was given a line-anchored deltoid ligament repair on the basis of the control group.And postoperative evaluation of operation time,blood loss,internal hemorrhoid gap,surgical complications and hernia-hindfoot function score.Results:There was no difference between the control group and the repair group in terms of operation time and blood loss.However,in the repair group,the medial malleolus space was lower than the control group one year after surgery.The number of postoperative complications was less than that of the control group,and the post-operative post-feet function score on the 90th day was better than that of the control group.Conclusion:For patients with ankle joint fracture and triangular ligament injury,it is better to apply triangular anchorage with triangular ligament repair.