锚钉修复外踝骨折并三角韧带损伤临床探讨.docVIP

锚钉修复外踝骨折并三角韧带损伤临床探讨 　　[摘要] 目的 探究锚钉修复外踝骨折合并三角韧带损伤的临床效果。方法 方便选取于2014年1月―2015年12月该院治疗的外踝骨折合并三角韧带损伤患者86例，随机分为甲乙两组，每组43例。乙组患者行内固定治疗，甲组患者额外予三角韧带修复。对比观察两组患者关节功能评分（American Orthopaedic Foot and Ankle Society， AOFAS评分）、距骨倾斜角及不良事件发生率。结果 甲组总体优良率为95.35%，乙组为79.07%，甲组明显优于乙组（P0.05）；甲组与乙组治疗前距骨倾斜角分别为（13.29±2.41）°、（13.21±2.37）°。治疗后（1.17±0.21）°、（6.67±0.32）°，治疗后甲组明显优于乙组。差异有统计学意义（P0.05）。结论 使用锚钉修复外踝骨折合并三角韧带损伤，较单纯内固定而言能改善关节功能及距骨倾斜角，减少不良事件发生，治疗效果显著，值得推广。 　　[关键词] 锚钉修复；外踝骨折；三角韧带损伤 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2016）12（b）-0091-03 　　The Clinical Effect of Suture Anchors Reconstruction in the Treatment of Lateral Malleolus Fracture Combined with Deltoid Ligament Injury 　　LIN Xiao-feng 　　Outside the Two Subjects， Fujian Province Shunchang County Hospital，Nanping，Fujian Province，353200 China 　　[Abstract] Objective To explore the clinical effect of anchor with deltoid ligament injury of lateral malleolus fracture repair nail. Methods 86 cases is convenient selection in our hospital from January 2014 to December 2015 of the lateral malleolus fracture patients with deltoid ligament injury， were randomly divided into two groups A and B， 43 cases in each group. Group B underwent internal fixation in the treatment of patients with first， additional to triangle ligament repair. Comparison of two groups of patients with joint function score （American Orthopaedic Foot and Ankle Society， AOFAS score）， talar tilt angle and the incidence of adverse events. Results The total excellent rate was 95.35%， 79.07% in group B， group A is better than that of group B（P0.05）； group A and group B before treatment of talar tilt respectively （13.29 ± 2.41）°， （13.21 ± 2.37）°； after treatment （1.17 ± 0.21）° （6.67±0.32）°， after the treatment group was better than that of group B （P0.05）. Conclusion The use of anchor nail repair ductile fracture with triangular lateral malleolus With the injury， compared with simple internal fixation can improve joint function and talar tilt， reduce the incidence of adve