微型锁定钢板内固定术治疗踝关节骨折合并下胫腓联合韧带损伤患者的效果  

The Effect of Mini Locking Plate Internal Fixation in the Treatment of Patients with Ankle Fractures Combined with Inferior Tibiofibular Syndesmosis Ligament Injury

作　　者：高太行 Gao Taihang(Department of Orthopedics,Zhengzhou Orthopedic Hospital,Zhengzhou Henan 450000)

机构地区：[1]郑州市骨科医院正骨科,河南郑州450000

出　　处：《哈尔滨医药》2025年第1期21-24,共4页Harbin Medical Journal

摘　　要：目的探究踝关节骨折合并下胫腓联合韧带损伤应用微型锁定钢板内固定术治疗的临床效果,为临床实践提供理论参考依据。方法选取94例罹患踝关节骨折合并下胫腓联合韧带损伤患者作为研究对象,分为观察组和对照组,各47例。对照组应用经皮螺钉内固定术治疗,观察组应用微型锁定钢板内固定术治疗,比较两组临床效果、围术期指标、疼痛程度、足踝功能和日常活动能力。结果观察组有效率95.7%高于对照组83.0%,差异有统计学意义(P<0.05);观察组住院时间、骨折愈合时间低于对照组,差异有统计学意义(P<0.05);术后3个月,两组VAS评分降低,BI和AOFAS-AH评分升高,但观察组VAS评分低于对照组,BI和AOFAS-AH评分高于对照组,差异有统计学意义(P<0.05)。结论踝关节骨折合并下胫腓联合韧带损伤应用微型锁定钢板内固定术临床效果显著,可缩短患者恢复时间,降低患者术后疼痛程度,提高踝关节功能。Objective To analyze the clinical effect of micro-locking plate internal fixation in the treatment of ankle fracture combined with lower tibiofibular joint ligament injury,and to provide theoretical reference basis for clinical practice.Methods 94 cases of ankle fracture combined with lower tibiofibular joint ligament injury were selected as the research subjects,and according to the condition and the patients'wishes,they were divided into the observation group and the control group,with 47 patients in the observation group and 47 patients in the control group.The control group was treated with percutaneous screw internal fixation,and the observation group was treated with mini locking plate internal fixation,comparing the clinical effects,perioperative indexes,pain level,foot and ankle function and daily activity ability of the two groups.Results The effective rate of 95.7%in the observation group was higher than 83.0%in the control group,and the difference was statistically significant(P<0.05);the hospitalization time and fracture healing time of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05);3 days after the operation,the difference between the VAS,BI and AOFAS-AH scores of the two groups was not statistically significant(P>0.05),and 3 months after the operation,the two groups VAS scores decreased and BI and AOFAS-AH scores increased,but VAS scores in the observation group were lower than those in the control group,and BI and AOFAS-AH scores were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of micro-locking plate internal fixation in patients with ankle fracture combined with lower tibiofibular joint ligament injury is remarkable,which can significantly shorten the recovery time,reduce the degree of postoperative pain,and improve the function of the ankle joint.

关 键 词：微型锁定钢板内固定术 踝关节骨折 下胫腓联合韧带损伤 效果 

分 类 号：R605[医药卫生—外科学]