中国临床医学2012，Vol.19Issue(3)：266-267,2.
锚钉修复外踝骨折合并三角韧带损伤的疗效
Application of Suture Anchors in the Treatment of Lateral Malleolus Fractures Associated with Deltoid Ligament Injuries
丁磊 1吴靖平 1李德芳 1曾庆敏1
作者信息
- 1. 复旦大学附属金山医院骨科,上海201508
- 折叠
摘要
Abstract
Objective:To assess the curative effects of suture anchors in the treatment of lateral malleolus fractures associated with deltoid ligament injuries. Methods: A total of 29 patients with lateral malleolus fractures associated with deltoid ligament injuries have been enrolled in this study. All of them were treated with open reduction and internal fixation. The injured deltoid ligaments in 14 cases were treated by using suture anchors (the repaired group),while the other 15 cases were treated without repairing deltoid ligaments(the control group). Gravity stress radiography was utilized to estimate the integrity of deltoid ligaments. All the patients were evaluated according to the American Orthopaedic Foot and Ankle Society (AOFAS) scoring system 14-16 weeks after operation,and the talar tilts in the two groups pre-operation and post-operation were measured. Results: All the 29 patients have been followed up. There were no significant differences in pre-operation talar tilts between the repaired group (11. 57 ± 0. 97)° and the control group (12. 02 + 1. 06)°. After one year,talar tilts of the repaired group and the control group were (1.28±0. 11)° and (5. 88 + 0.61)°,respectively (P<0. 05). According to the AOFAS scoring system,the excellent and good rates were 85. 7% in the repaired group and 53. 3 % in the control group (P<0. 05). Conclusions: Restoration of the deltoid ligaments was as important as open reduction and internal fixation of the lateral malleolus.关键词
带线锚钉/外踝骨折/三角韧带Key words
Suture anchor/Distal fibular fracture/Deltoid ligament分类
医药卫生引用本文复制引用
丁磊,吴靖平,李德芳,曾庆敏..锚钉修复外踝骨折合并三角韧带损伤的疗效[J].中国临床医学,2012,19(3):266-267,2.
