中国组织工程研究2017，Vol.21Issue(19)：3011-3016,6.DOI:10.3969/j.issn.2095-4344.2017.19.010
锚钉修复三角韧带后踝关节的稳定性
Stability of ankle joint in the repair of deltoid ligament with suture anchors
摘要
Abstract
BACKGROUND: Ankle fracture combined with deltoid ligament rupture and distal tibiofibular syndesmosis injury occurs occasionally. Its treatment with distal tibiofibular syndesmosis screw fixation or deltoid ligament repair remains controversial. The former appears with poor reduction, broken nails, secondary surgery and other problems.OBJECTIVE: To observe the clinical effectiveness of suture anchor repair for ankle fracture combined with deltoid ligament injury.METHODS: Twelve patients with ankle fracture combined with deltoid ligament injury were selected from the First Affiliated Hospital of Guangzhou University of Chinese Medicine between January 2013 and December 2015. All patients were treated with open reduction, internal fixation, and anchor repair, but without distal tibiofibular syndesmosis screw fixation. The curative efficacy and joint stability were observed.RESULTS AND CONCLUSION: (1) All patients were followed-up for more than 12 months. (2) The modified Baird-Jackson scoring system showed excellent in nine cases, good in two cases, average in one case, poor in none case, and the excellent and good rate was 92%. (3) At 1 year after internal fixation, the X-ray examination showed the malleolus gap and talus slope angle of the affect side were (3.47±0.12) mm and (0.45±0.18)°, and the malleolus gap and talus slope angle of the healthy side were (3.44±0.05) mm and (0.43±0.14)°, and there was no significant difference between two sides (P > 0.05). (4) These results indicate that the suture anchor can repair the anatomy and biomechanics of deltoid ligament with stable ankle joint, and secondary surgery is unnecessary.关键词
骨科植入物/关节植入物/锚钉/三角韧带/修复/踝关节稳定性分类
医药卫生引用本文复制引用
高怡加,黄枫,劳永生,曾展鹏,徐险峰,罗伟东,孙世栋,陈柏行..锚钉修复三角韧带后踝关节的稳定性[J].中国组织工程研究,2017,21(19):3011-3016,6.基金项目
广东省省级科技计划项目(2014A020212593) （2014A020212593）
the Guangdong Provincial Science and Technology Program, No. 2014A020212593 （）
