踝关节骨折合并三角韧带损伤的手术疗效分析  

作　　者：徐贤[1] 刘林[1] 李聪[1] 吴韦 

机构地区：[1]同济大学附属东方医院,200120

出　　处：《浙江临床医学》2018年第4期631-633,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探究踝关节骨折合并三角韧带损伤不同手术方式的临床疗效。方法回顾性分析自2015年1月至2016年6月诊治的29例踝关节骨折合并三角韧带损伤患者的临床资料，根据术中是否使用带线锚钉修复三角韧带分为常规手术组（A纽）和韧带修复组（B组）。根据术后1年的踝关节功能评分（美国足踝骨科协会评分系统），Cumberland踝关节不稳定评分及距骨倾斜角度评估患者功能恢复情况。结果29例观察对象均符合纳入标准且均获随访。A组优良率（75．0％）明显低于B组（84．6％）。A组AOFAS及CAIT评分均低于B组，差异均有统计学意义（P〈0．05）。A组与B组术前距骨倾斜角无明显差异（P〉0．05），术后B组明显优于A组且差异有统计学意义（P〈0．05）。结论踝关节骨折合并三角韧带损伤后术中使用带线锚钉修复损伤的三角韧带可以明显改善踝关节功能，降低距骨倾斜角，恢复踝关节稳定性。Objective To analyze the curative effects of ankle fractures accompanied with deltoid ligament injury with different surgical methods. Methods The patients with lateral ankle fractures accompanied with deltoid ligament injury from January 2015 to June 2016 were retrospectively analyzed and categorized into two groups according to whether treated with suture anchor repair （ group A was routine operation measure, group B was deltoid ligament repaired ） . The two groups with joint function score （ American Orthopaedic Foot and Ankle Society, AOFAS score ） were compared. Cumberland ankle instability tool （ CAIT ） and talar dlt angle were used to evaluate the conditions of ankle funcdonal recovery. Results All the twenty- nine patients met the inclusion criteria and got follow-up observation. AOFAS and CAIT scores in group A were significantly lower than those in group B （ P〈0.05 ） . There were no significant differences in pre-operation talar tiks between the two groups （ P〉0.05 ） , but the condition oftalar tilts recovery in group A was significantly superior to the group B （ P〈0.05 ） . Conclusion The routine application of suture anchor to repair the injured deltoid ligament can promote the ankle function, restore the talar tilts and avail the ankle stability.

关 键 词：踝关节骨折 三角韧带损伤 带线锚钉 踝关节功能 

分 类 号：R686.5[医药卫生—骨科学]