带线锚钉修复三角韧带损伤的效果及对患者踝关节功能的影响

目的:研究带线锚钉修复三角韧带损伤在踝关节骨折内固定治疗中的作用及对踝关节功能的影响。方法:回顾性分析2012年9月至2016年8月本院收治的72例裸关节骨折并三角韧带损伤患者并且行切开复位钢板置入内固定,及采取带线锚钉内固定方式修复三角韧带损伤视为观察组;另选取同期在本院进行踝关节骨折内固定治疗但不修复三角韧带的72例患者视为对照组。分析患者治疗前、治疗后1个月、3个月、6个月踝关节功能恢复情况,观察患侧内踝间隙和不良反应。结果:观察组在治疗后1个月、3个月、6个月的AOFAS评分显著高于对照组(P0.05)。观察组在治疗后6个月后的患侧内踝间隙显著小于对照组(P0.05)。结论:带线锚钉修复三角韧带损伤在踝关节骨折内固定治疗中,可明显降低患侧内踝间隙距离,可促进患者踝关节功能恢复,无严重不良反应,值得进一步广泛推广使用。

Effect of Wire Anchors on Repairing Triangular Ligament Injury and the Ankle Joint Functions of Patients

ABSTRACT Objective: To study the effect of repairing triangular ligament injury with wire anchors on internal fixation of ankle joint fractures and its effect on ankle joint function. Methods: 72 cases of naked joint fractures and triangular ligament injuries who were treated in our hospital from September 2012 to August 2016 were retrospectively analyzed, and were treated with open reduction and internal fixation with plate fixation and repair of triangular ligament injury as the observation group. At the same period, for ankle fracture fixation without repairing the triangular ligament of 72 patients in our hospital as control group. Ankle joint function recovery was observed before and after 1 month, 3 months and 6 months treatment, and the side ankle space and adverse reaction were observed. Results: The AOFAS scores of the observation group at 1 month, 3 months and 6 months after treatment were significantly higher than the control group (P <0.05). After 6 months treatment, the gap of the medial malleolus in observation group was significantly smaller than the control group (P <0.05). Conclusion: The repair of triangular ligament injury with wire anchor can significantly reduce the distance between the medial malleolus and the ankle in the treatment of ankle joint fracture. It can promote the recovery of ankle function and no serious adverse reaction. It is worthy to be further popularized.