三角韧带深层损伤对旋前外型踝关节骨折患者术后踝关节功能的影响  

Effects of deep deltoid ligament injury on postoperative ankle function in patients with pronation-external rotation ankle fractures

作　　者：杨兆平[1] 于泓[1] 姚树生[1] 于洋[1] Yang Zhaoping;Yu Hong;Yao Shusheng;Yu Yang(Department of Traumatic Orthopedics,Weihai Municipal Hospital,Weihai 264200,Shandong Province,China)

机构地区：[1]威海市立医院创伤骨科,威海264200

出　　处：《中国基层医药》2023年第3期352-355,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨三角韧带深层损伤对旋前外型踝关节骨折患者术后踝关节功能(AOFAS)及疼痛感的影响。方法选取2019年3月至2020年3月威海市立医院收治的三角韧带深层未损伤旋前外型踝关节骨折患者30例为对照组,选取2020年4月至2021年6月威海市立医院收治的三角韧带深层损伤旋前外型踝关节骨折患者30例为观察组。两组均行旋前外型踝关节骨折复位内固定术,比较两组患者AOFAS评分、疼痛情况以及生活质量。结果术后1个月、3个月,观察组AOFAS评分[(69.87±2.89)分、(75.66±4.27)分]均低于对照组的(81.45±4.78)分、(93.62±3.54)分(t=11.35、17.37,均P<0.001);术后1个月、3个月,观察组视觉模拟评分法(VAS)评分[(7.16±1.15)分、(5.84±0.52)分]均高于对照组的(6.42±0.54)分、(4.28±0.16)分(t=3.19、15.70,均P<0.05);术后3个月,观察组生理健康、心理健康、社会关系、周围环境评分分别为(19.18±1.96)分、(18.67±1.82)分、(17.42±2.54)分、(19.65±2.43)分,均低于对照组的(21.65±3.58)分、(23.57±3.56)分、(20.09±3.95)分、(22.38±3.67)分(t=3.31、6.71、3.11、3.39,均P<0.05)。结论当旋前外型踝关节骨折患者合并有三角韧带深层损伤,会影响术后AOFAS的恢复,影响生活质量,需及时进行修复。Objective To investigate the effects of a deep deltoid ligament injury on postoperative ankle function and pain in patients with pronation-external rotation ankle fractures.Methods Thirty patients with pronation-external rotation ankle fractures without deep deltoid ligament injury admitted to Weihai Municipal Hospital from March 2019 to March 2020 were included in the control group.Thirty patients with pronation-external rotation ankle fractures with deep deltoid ligament injury admitted to the same hospital from April 2020 to June 2021 were included in the observation group.Both groups received reduction and internal fixation of pronation-external rotation ankle fractures.American Orthopaedic Foot and Ankle Society score,pain,and quality of life were compared between the two groups.Results At 1 and 3 months after surgery,American Orthopaedic Foot and Ankle Society scores in the observation group were(69.87±2.89)points and(75.66±4.27)points,which were significantly lower than(81.45±4.78)points,and(93.62±3.54)points in the control group(t=11.35,17.37,both P<0.01).At 1 and 3 months after surgery,Visual Analogue Scale(VAS)scores in the observation group were(7.16±1.15)points and(5.84±0.52)points,respectively,which were significantly higher than(6.42±0.54)points and(4.28±0.16)points in the control group(t=3.19,15.70,both P<0.05).At 3 months after surgery,the scores of physical health,mental health,social relationship,and surrounding environment in the observation group were(19.18±1.96)points,(18.67±1.82)points,(17.42±2.54)points,(19.65±2.43)points,respectively,which were significantly lower than(21.65±3.58)points,(23.57±3.56)points,(20.09±3.95)points,(22.38±3.67)points in the control group(t=3.31,6.71,3.11,3.39,all P<0.05).Conclusion Deep deltoid ligament injury affects the recovery of pronation-external rotation ankle fracture and affects the quality of life.Therefore,it is necessary to repair deep deltoid ligament injury in time in patients with pronation-external rotation ankle fractures.

关 键 词：踝骨折 外侧韧带 踝 旋前 疼痛 手术后 生活质量 

分 类 号：R687.3[医药卫生—骨科学]