三角韧带修复联合切开复位内固定治疗急性踝关节骨折伴三角韧带损伤患者的临床效果  

Clinical Effect of Triangular Ligament Repair Combined with Open Reduction and Internal Fixation in the Treatment of Patients with Acute Ankle Fractures with Triangular Ligament Injuries

作　　者：吴旭东 王建钊 WU Xudong;WANG Jianzhao(Department of Orthopedics,Dingbian County People's Hospital,Yulin 718699,China)

机构地区：[1]定边县人民医院骨科,陕西榆林718699

出　　处：《反射疗法与康复医学》2024年第23期161-165,共5页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨急性踝关节骨折伴三角韧带损伤患者应用三角韧带修复联合切开复位内固定治疗的临床效果。方法选择2023年1月—2024年1月定边县人民医院收治的86例急性踝关节骨折伴三角韧带损伤患者为研究对象,按随机数字表法将其分为对照组和联合组,各43例。对照组采用切开复位内固定治疗,联合组采用三角韧带修复联合切开复位内固定治疗。比较两组患者的手术治疗情况、疼痛程度、并发症发生情况、踝关节形态,足踝功能恢复情况、生活质量。结果联合组手术时间长于对照组,术中出血量多于对照组,住院时间、正常步行恢复时间、骨折愈合时间均短于对照组,组间差异有统计学意义(P<0.05)。术后1周、术后3个月,两组疼痛视觉模拟评分均低于术前,且联合组均低于对照组,差异有统计学意义(P<0.05)。联合组并发症发生率为11.63%,低于对照组的30.23%,差异有统计学意义(P<0.05)。联合组足踝功能恢复优良率为95.35%,高于对照组的76.74%,差异有统计学意义(P<0.05)。术后3个月,两组患侧内踝间隙、距骨前移距离均短于术前,且联合组均短于对照组,两组踝关节主动外翻角度均小于术前,且联合组小于对照组,差异有统计学意义(P<0.05);两组世界卫生组织生存质量测定量表简表各个维度评分均高于术前,且联合组均高于对照组,差异有统计学意义(P<0.05)。结论急性踝关节骨折伴三角韧带损伤患者采用三角韧带修复联合切开复位内固定治疗的疗效确切,可改善其踝关节形态,提高生活质量,值得推广应用。Objective Exploring the clinical efficacy of triangular ligament repair combined with open reduction and internal fixation in patients with acute ankle fractures with triangular ligament injuries.Methods A total of 86 patients with acute ankle fractures and triangular ligament injuries admitted to Dingbian County People's Hospital from January 2023 to January 2024 were selected as the research subjects,according to the random number table method,they were divided into a control group and a combination group,with 43 cases in each group.The control group received open reduction and internal fixation treatment,while the combination group received triangular ligament repair combined with open reduction and internal fixation treatment.Compare the surgical treatment status,pain level,occurrence of complications,ankle joint morphology,ankle function recovery,and quality of life between two groups of patients.Results The surgery time of the combined group was longer than that of the control group,the intraoperative blood output was more than that of the control group,and the hospitalization time,normal walking recovery time,and fracture healing time were all shorter than those of the control group,the differences between the groups were statistically significant(P<0.05).One week and three months after surgery,the pain Visual Analogue Scale scores of both groups were lower than those before surgery,and the combined group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the combined group was 11.63%,which was lower than the 30.23%in the control group,the difference was statistically significant(P<0.05).The excellent and good rate of ankle function recovery in the combined group was 95.35%,which was higher than the 76.74%in the control group,the difference was statistically significant(P<0.05).Three months after surgery,the distance between the medial malleolus and the anterior displacement of the talus on the affected side in both groups was

关 键 词：急性踝关节骨折 三角韧带损伤 三角韧带修复 切开复位内固定 足踝功能 

分 类 号：R683.42[医药卫生—骨科学]