Endobutton带袢钢板弹性固定治疗下胫腓联合损伤的临床研究  

Clinical study of elastic fixation of Endobutton plate with loop in treatment of distal tibiofibular syndesmosis injury

作　　者：王世辉[1] 陈颖 张宁[1] 刘增兵[1] 王金广 WANG Shihui;CHEN Ying;ZHANG Ning;LIU Zengbing;WANG Jinguang(Department of Hand Foot Surgery,the Fourth People’s Hospital of Hengshui City,Hengshui 053000,China;不详)

机构地区：[1]河北省衡水市第四人民医院手足外科,053000 [2]河北省衡水市第四人民医院关节骨科,053000

出　　处：《临床外科杂志》2025年第2期162-165,共4页Journal of Clinical Surgery

基　　金：河北省衡水市科技计划项目(2020014053Z)。

摘　　要：目的 探讨使用Endobutton带袢钢板进行弹性固定在下胫腓联合损伤治疗中的临床效果。方法 2019年6月~2021年6月行手术治疗的下胫腓联合损伤合并踝关节骨折病人326例,采用随机数字表将病人随机分为试验组(163例)和对照组(163例)。对照组行传统钢板螺钉固定,试验组行Endobutton带袢钢板弹性固定。比较两组病人住院和手术相关指标。分别在术后2个月、6个月对两组病人进行美国足踝外科协会踝关节功能评分(AOFAS),并在术后6个月评估比较两组病人下胫腓联合再次分离率。结果 试验组与对照组病人手术时间、出血量、切口长度、下床活动时间及住院时间比较差异均无统计学意义(P>0.05)。试验组术后并发症发生率为2.45%,低于对照组的7.98%,两组比较差异有统计学意义(P<0.05)。对照组病人术后2个月、6个月AOFAS分别为(74.5±9.2)分、(81.3±4.3)分,优良率为76.0%;试验组病人术后2个月、6个月AOFAS分别为(82.3±5.3)分、(91.2±3.8)分,优良率为93.2%,试验组上述指标均高于对照组,两组比较差异有统计学意义(P<0.05)。术后6个月复查对照组下胫腓联合再次分离率为12.8%,试验组为2.4%,试验组再次分离风险低于对照组,两组比较差异有统计学意义(P<0.05)。结论 Endobutton带袢钢板弹性固定可用于踝关节骨折合并下胫腓联合损伤,效果优于传统钢板螺钉内固定。Objective To investigate the clinical effect of elastic fixation of Endobutton plate with loop in the treatment of lower tibiofibular combined injury.Methods A total of 326 patients with lower tibiofibular joint injury combined with ankle fracture underwent surgical treatment from June 2019 to June 2021 were randomly divided into experimental group(163 cases)and control group(163 cases)by using a random number table.The control group was fixed with traditional steel plate screw,and the experimental group was fixed with elastic steel plate with loop Endobutton.Hospitalization and operation related indexes were compared between the two groups.The American Association of Foot and Ankle Surgery Ankle Function Score(AOFAS)was performed on the two groups at 2 and 6 months after surgery,respectively,and the reseparation rate of the lower tibiofibular union was evaluated and compared between the two groups at 6 months after surgery.Results There were no significant differences in operation time,blood loss,incision length,getting out of bed time and hospital stay between experimental group and control group(P>0.05).The incidence of postoperative complications in experimental group was 2.45%,lower than that in control group(7.98%),and the difference between the two groups was statistically significant(P<0.05).The incidence of postoperative complications in experimental group was 2.45%,lower than that in control group(7.98%),and the difference was statistically significant between the two groups(P<0.05).The AOFAS scores of control group were(74.5±9.2)and(81.3±4.3)at 2 months and 6 months,respectively,and the excellent and good rate was 76.0%.AOFAS of experimental group were(82.3±5.3)points and(91.2±3.8)points at 2 months and 6 months after surgery,respectively,and the excellent and good rate was 93.2%,the above indexes of experimental group were higher than those of control group,and the difference between the two groups was statistically significant(P<0.05).Reexamination 6 months after surgery the reseparation rate of

关 键 词：下胫腓联合损伤 Endobutton带袢钢板 弹性固定 

分 类 号：R68[医药卫生—骨科学]