缝合锚钉与螺钉固定对踝关节骨折合并下胫腓联合损伤患者的治效比较  

Comparative Study of Suture Anchor and Screw Fixation in the Treatment of Ankle Joint Fractures Combined with Lower Tibiofibular Joint Injury

作　　者：侯晓乐 连乐峰 毛照民 靳铁成 Hou Xiaole;Lian Lefeng;Mao Zhaomin(Department of Orthopedics,Ruzhou First People’s Hospital,Ruzhou,Henan,467500,China)

机构地区：[1]汝州市第一人民医院骨科,河南汝州467500

出　　处：《黑龙江医学》2024年第21期2602-2604,共3页Heilongjiang Medical Journal

摘　　要：目的:对比缝合锚钉与螺钉固定治疗对踝关节骨折合并下胫腓联合损伤患者治疗效果。方法:回顾性分析2020年6月—2022年6月汝州市第一人民医院收治的68例踝关节骨折合并下胫腓联合损伤患者的临床资料,按照治疗方法的不同将其分为A组(34例,采用螺钉固定法)和B组(34例,采用缝合锚钉法)。比较两组患者手术基本情况、手术时间和透视次数、旋前外旋型和旋前外展型骨折患者手术时间与透视次数、复位质量以及并发症发生情况。结果:两组患者均顺利完成手术,且所有患者的手术切口均为甲级愈合,未见切口愈合不良;A组患者取出螺钉的时间为术后12周以内,B组患者则无需取出螺钉;B组患者手术时间、透视次数少于A组,差异有统计学意义(t=2.780、3.343,P<0.05);旋前外旋型和旋前外展型骨折患者中,B组患者手术时间、透视次数均少于A组,差异有统计学意义(t=2.257、3.734、2.727、2.380,P<0.05);B组患者下胫腓联合切迹前间距短于A组,差异有统计学意义(t=3.326、0.756,P<0.05);B组患者并发症总发生率低于A组,差异无统计学意义(χ^(2)=2.548,P>0.05)。结论:缝合锚钉应用于踝关节骨折合并下胫腓联合损伤患者的治疗中,患者术后切口愈合状况较好,可增加下胫腓联合切迹前间距的解剖复位率,且不会增加相关并发症的发生,安全性良好。Objective:To compare the therapeutic effect of suture anchor and screw fixation on ankle fracture with lower tibiofibular joint injury.Methods:A retrospective analysis was conducted on the clinical data of 68 patients with ankle fracture combined with lower tibiofibular joint injury admitted to the First People’s Hospital of Ruzhou City from June 2020 to June 2022.They were divided into group A(34 cases,using screw fixation method)and group B(34 cases,using suture anchor method)according to different treatment methods.The basic surgical information,surgical time and fluoroscopy frequency,surgical time and fluoroscopy frequency,reduction quality,and incidence of complications between two groups of patients with pronation and abduction fractures were compared.Results:Patients successfully completed the surgery,and all patients had grade A healing of the surgical incisions,without any poor healing of the incisions.The screw removal time in group A was less than 12 weeks after surgery,and the screw removal time in group B was not required.The operative time and fluoroscopy times of group B were less than those of group A,and the differences were statistically significant(t=2.780,3.343;P<0.05).Among the patients with pronation external rotation and pronation abduction fracture,the operative time and fluoroscopy times in group B were less than those in group A,and the difference was statistically significant(t=2.257,3.734,2.727,2.380;P<0.05).The anterior incisal distance of lower tibiofibular union in group B was shorter than that in group A,with statistically significant difference(t=3.326,0.756;P<0.05).The total incidence of complications in group B was lower than that in group A,with no statistically significant difference(χ^(2)=2.548,P>0.05).Conclusion:The application of suture anchor nails in the treatment of ankle joint fractures combined with lower tibiofibular syndesmosis injuries can improve the postoperative incision healing,and increase the anatomical reduction rate of the anterior distance between the lo

关 键 词：缝合锚钉 螺钉固定 踝关节骨折 下胫腓联合损伤 复位质量 并发症 

分 类 号：R683.42[医药卫生—骨科学]