踝关节骨折内固定联合Endobutton钢板在伴踝关节骨折的急性下胫腓联合损伤中的应用效果  

Application of Ankle Fracture Internal Fixation Combined with Endobutton Plate in Acute Distal Tibiofibular Syndesmosis Injury with Ankle Fracture

作　　者：姚帅辉[1] 韩嵘灿 高军胜[1] 佘恒 赵晓 YAO Shuaihui;HAN Rongcan;GAO Junsheng;SHE Heng;ZHAO Xiao(Department of Orthopedics Sector 1,Zhengzhou People's Hospital,Zhengzhou Henan 450003,China)

机构地区：[1]郑州人民医院骨一科,河南郑州450003

出　　处：《临床研究》2025年第5期21-24,共4页Clinical Research

基　　金：河南医学科技攻关计划(LHGJ20210694)。

摘　　要：目的探讨踝关节骨折内固定联合Endobutton钢板在伴踝关节骨折的急性下胫腓联合损伤中的临床应用疗效,为临床治疗提供参考。方法回顾性分析2021年5月至2024年5月郑州人民医院收治的85例伴踝关节骨折的急性下胫腓联合损伤患者的临床资料,根据手术固定方法不同分为对照组(41例)和观察组(44例)。对照组患者采用踝关节骨折内固定联合锚钉固定法常规韧带修复,观察组患者采用踝关节骨折内固定联合Endobutton钢板固定。比较两组患者手术时间、卧床时间、骨折端愈合时间及内侧关节间隙(MCS)、下胫腓关节间隙(TFCS)、胫腓骨重叠(TFO)及踝关节功能评分(Baird-Jackson评分)和并发症发生情况。结果观察组患者手术时间、卧床时间及骨折端愈合时间短于对照组,差异有统计学意义(P<0.05)。术后6个月,两组患者MCS、TFCS值降低,TFO值、Baird-Jackson评分升高,且观察组MCS、TFCS值更低,TFO值、Baird-Jackson评分更高,差异有统计学意义(P<0.05)。观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论踝关节骨折内固定联合Endobutton钢板在伴踝关节骨折的急性下胫腓联合损伤的治疗中能够显著改善手术相关指标,促进踝关节功能恢复,减少并发症的发生风险。Objective To explore the clinical efficacy of ankle fracture internal fixation combined with Endobutton plate in the treatment of acute distal tibiofibular syndesmosis injury with ankle fracture,providing a reference for clinical practice.Methods The clinical data of 85 patients with acute distal tibiofibular syndesmosis injury and accompanying ankle fracture,treated at Zhengzhou People's Hospital from May 2021 to May 2024,were retrospectively analyzed.According to the different surgical fixation methods,they were divided into a control group(41 cases)and an observation group(44 cases).The control group underwent ankle fracture internal fixation combined with routine ligament repair using anchor fixation,while the observation group received ankle fracture internal fixation combined with Endobutton plate fixation.The operative time,bed rest time,fracture healing time,medial clear space(MCS),tibiofibular clear space(TFCS),tibiofibular overlap(TFO),Baird-Jackson ankle function score,and incidence of complications were compared between the two groups.Results The observation group had shorter operative time,bed rest time,and fracture healing time compared to the control group,with statistically significant differences(P<0.05).Six months postoperatively,the MCS and TFCS values decreased,and the TFO value and Baird-Jackson score increased in both groups.Moreover,the observation group had lower MCS and TFCS values,and higher TFO values and Baird-Jackson scores,with statistically significant differences(P<0.05).The complication rate in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Conclusion Ankle fracture internal fixation combined with Endobutton plate significantly improves surgical-related indicators,promotes recovery of ankle function,and reduces the risk of complications in the treatment of acute distal tibiofibular syndesmosis injury with ankle fracture.

关 键 词：踝关节骨折内固定 ENDOBUTTON钢板 踝关节骨折 急性下胫腓联合损伤 

分 类 号：R274.1[医药卫生—中医骨伤科学]