韧带修复术对踝关节骨折合并三角韧带损伤患者骨代谢、促进恢复的作用分析  

Analysis of the effect of ligament repair surgery on bone metabolism and recovery in patients with ankle fractures and deltoid ligament injuries

作　　者：许锦涛 崔晓赟 张成勇[1] 赵军[1] 程明 唐玉琦 XU Jin-tao;CUI Xiao-yun;ZHANG Cheng-yong;ZHAO Jun;CHENG Ming;TANG Yu-qi(Department of Orthopaedics,The TCM Hospital of Longquanyi,Chengdu 610100,China;Department of Rehabilitation,Jinniu District People′s Hospital,Chengdu 610036,China)

机构地区：[1]成都市龙泉驿区中医医院骨科,四川成都610100 [2]成都市金牛区人民医院康复科,四川成都610036

出　　处：《实用医院临床杂志》2024年第1期152-155,共4页Practical Journal of Clinical Medicine

基　　金：四川省科技厅重点研发项目(编号:2020YFS0416);成都市金牛区医学会科研课题(编号:JNKY2021-24)。

摘　　要：目的探讨韧带修复术对踝关节骨折合并三角韧带损伤患者骨代谢、促进恢复的作用。方法选择2019年1月至2022年1月成都市龙泉驿区中医医院骨科收治的111例踝关节骨折合并三角韧带损伤患者,采用随机数表法分为试验组(n=56)和对照组(n=55)。对照组给予切开复位钢板内固定术治疗,试验组加用韧带修复术治疗。比较两组术后恢复率、骨代谢、踝关节活动情况、临床评分变化情况及不良反应发生情况。结果术后试验组踝关节功能恢复优良率高于对照组(P<0.05);治疗后两组骨代谢及临床评分均改善,且试验组改善程度优于对照组(P<0.05);两组外翻角、外翻力度均升高,踝关节内侧间隙降低,且试验组优于对照组(P<0.05);两组不良反应比较差异无统计学意义(P>0.05)。结论在踝关节骨折合并三角韧带损伤中应用韧带修复术疗效显著,可有效改善患者骨代谢、促进恢复。Objective To investigate the effect of ligament repair surgery on bone metabolism and recovery in patients with ankle fracture complicated with deltoid ligament injury.Methods One hundred and eleven patients with ankle fracture and triangular ligament injury admitted to the Department of Orthopedics,Longquanyi District Hospital of Traditional Chinese Medicine from January 2019 to January 2022 were selected.The patients were divided into an experimental group(n=56)and a control group(n=55)by random number table method.The control group was treated with open reduction plate internal fixation.The experimental group was treated with ligament repair surgery.The postoperative recovery rate,bone metabolism,ankle joint activity,clinical score changes and adverse reactions were compared between the two groups.Results After surgery,the excellent and good recovery rate of ankle joint function in the experimental group were higher than those in the control group(P<0.05).After treatment,bone metabolism and clinical scores were improved in both groups,and the improvement in the experimental group was beter than that in the control group(P<0.05).The valgus angle and valgus strength were increased and the medial ankle joint gap was decreased in both groups,and the experimental group was better than the control group(P<0.05).There was no significant difference in advance reaction between the two groups(P>0.05).Conclusions The application of ligament repair surgery in ankle fractures combined with deltoid ligament injuries has significant effects.It can effectively improve the patient's bone metabolism and promote the recovery.

关 键 词：韧带修复术 踝关节骨折 三角韧带损伤 骨代谢 促进恢复 

分 类 号：R684.7[医药卫生—骨科学]