Therapeutic Effect of Ankle Arthroscopic Reconstruction of Anterior Tibiofibular Ligament Combined with Internal Fixation for the Treatment of Posterior Orbital Ⅱ° Ankle Joint Injury
WANG Xin-gang, HUANG Peng, LYU Tu
The Second Department of Orthopedics, Liaoyang Central Hospital,Liaoyang Liaoning 111000
摘要【目的】探讨踝关节镜下距腓前韧带重建联合内固定治疗旋后内收Ⅱ度踝关节损伤的临床疗效。【方法】回顾性分析2014年1月至2018年6月在本院诊治的102例旋后内收Ⅱ度踝关节损伤患者,按照治疗方法不同分为观察组 (踝关节镜下距腓前韧带重建联合支撑钢板内固定)和对照组(切开复位联合支撑钢板内固定),每组51例。比较两组围手术期指标、临床疗效和并发症发生率。【结果】观察组手术时间、术中出血量显著高于对照组,但骨折愈合时间、术后完全负重时间小于对照组,其差异均有统计学意义(均 P <0.05)。末次随访,观察组Maryland评分中疼痛、功能、对线评分均显著高于对照组,AOFAS评分优良率显著高于对照组,并发症发生率显著低于对照组,其差异均有统计学意义(均 P <0.05)。【结论】踝关节镜下距腓前韧带重建联合内固定治疗旋后内收Ⅱ度踝关节损伤恢复时间短,术后踝关节功能恢复佳,并发症发生率低,值得临床推广应用。
Abstract：【Objective】To investigate the clinical effect of ankle arthroscopic reconstruction of the anterior tibiofibular ligament combined with internal fixation for the treatment of posterior orbital Ⅱ grade ankle joint injury. 【Methods】From January 2014 to June 2018,102 patients with posterior orbital Ⅱ grade ankle injury were analyzed retrospectively. According to the treatment methods, patients were divided into the ankle arthroscopic reconstruction of anterior tibiofibular ligament combined with internal fixation of supporting plate (the observation group, n =51) and the open reduction combined with supporting plate internal fixation (the control group, n =51). After 1 year follow-up, the clinical efficacy and complication rate of the two groups were compared. 【Results】The operation time and intraoperative blood loss in the observation group were higher than those in the control group, however, the time of fracture healing and complete weight bearing after operation was smaller than that in the control group ( P <0.05).At the last follow-up, the Maryland scores of pain, function and alignment in the observation group were higher than those in the control group ( P <0.05). The excellent and good rate of the AOFAS score was higher than that in the control group ( P <0.05), and the incidence of complications was lower than that in the control group ( P <0.05). 【Conclusion】Ankle arthroscopic anterior tibiofibular ligament reconstruction combined with internal fixation in the treatment of posterior orbital Ⅱ grade ankle joint injury has less complications and can short recovery time. It is worthy of clinical application.
王新刚, 黄鹏, 吕荼. 踝关节镜下距腓前韧带重建联合内固定治疗旋后内收Ⅱ度踝关节损伤的临床疗效[J]. 医学临床研究, 2021, 38(3): 389-391.
WANG Xin-gang, HUANG Peng, LYU Tu. Therapeutic Effect of Ankle Arthroscopic Reconstruction of Anterior Tibiofibular Ligament Combined with Internal Fixation for the Treatment of Posterior Orbital Ⅱ° Ankle Joint Injury. JOURNAL OF CLINICAL RESEARCH, 2021, 38(3): 389-391.
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2021, Vol. 38 
