下胫腓联合损伤应用可吸收螺钉与金属螺钉固定的疗效分析

Efficacy Analysis of Absorbable Screws and Metal Screw Fixation for the Distal Tibiofibular Syndesmosis Injury

目的:探讨分析下胫腓联合损伤应用可吸收螺钉与金属螺钉固定的疗效。方法:以我院2020年2月~2022年8月期间收治的48例下胫腓联合损伤的患者为研究对象,随机分为使用可吸收螺钉固定治疗组(研究组)与使用金属螺钉固定治疗组(对照组)两组;对比观察两组治疗的效果。结果:对研究对象随访12个月~26个月,平均16个月,下胫腓联合损伤均获得治愈。使用美国骨科足踝外科协会(AOFAS)标准对研究对象进行评价,评价结果显示术后6个月、16个月两组研究对象相比无明显差异;两组手术时间和完全负重时间的发生率比较无统计学意义(P>0.05)。结论:下胫腓联合损伤应用可吸收螺钉与金属螺钉固定治疗,两者无明显差异,但使用可吸收螺钉固定者,避免了二次取出,减轻了身心方面的痛苦和减少了住院时间,在经济负担方面亦得到了减轻,应用价值更高。

Objective:To investigate the efficacy of the distal tibiofibular syndesmosis injury with absorbable screws and metal screw fixation.Methods:Taking 48 patients with the distal tibiofibular syndesmosis injury admitted to our hospital from February 2020 to August 2022 as the research subjects.Randomly divide these patients into study group and control group,while the study group was treated with absorbable screw fixation,and the control group was treated with screw metal fixation.Compare the treatment effects between the two groups.Results:Study subjects were followed for 12 to 26 months,with a mean of 16 months.All lower tibia and fibular injuries had been cured.The treatment efficacy was evaluated using the American Association of Orthopaedic and Ankle Surgeons(AOFAS)criteria,and the evaluation results showed there was no significant difference between the two study groups at 6 and 16 months after surgery.And there was no statistically significant difference in the incidence of surgery time and complete weight-bearing time between the two groups(P>0.05).Conclusion:There is no significant difference in the efficacy of using absorbable screws or metal screws for the treatment of the lower tibiofibular combined injury.However,the use of absorbable screw fixation avoids the secondary removal,reduces the physical and mental pain and reduces the length of hospitalization,and the economic burden is also reduced.The treatment method of absorbable screw has higher application value.