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

doi:10.3969/j.issn.1671-7171.2021.03.020

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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.

Key words： Ankle Joint /SU Ankle Injuries Lateral Ligament Ankle Fracture Fixation Internal Arthroscopy

Received: 14 October 2020

PACS:

R684.77

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	Articles by authors
	WANG Xin-gang
	HUANG Peng
	LYU Tu

Cite this article:

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[J]. JOURNAL OF CLINICAL RESEARCH, 2021, 38(3): 389-391.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2021.03.020 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2021/V38/I3/389

[1] Warner SJ,Garner MR,Hinds RM, et al .Correlation between the Lauge-Hansen classification and ligament injuries in ankle fractures[J]. J Orthop Trauma, 2015,29(12):574-578.
[2] 俞光荣,樊健,周家钤,等.旋后内收型Ⅱ度踝关节骨折的治疗策略[J].中华创伤杂志,2011,27(4):336-340.
[3] 焦晨,胡跃林,郭秦炜,等.不同方法修复踝关节外侧副韧带慢性损伤的稳定性评价[J].中国组织工程研究,2013,17(13):2358-2367.
[4] 徐军奎, 姬维娜, 蔡杰,等. 可吸收钉板与金属钉板内固定治疗Ⅱ度旋后外旋型踝关节骨折的比较[J].中国骨与关节损伤杂志, 2018, 33(6):641-642.
[5] Ventura A,Terzaghi C,Legnani C, et al .Lateral ligament reconstruction with allograft in patients with severe chronic ankle instability[J]. Arch Orthop Trauma Surg, 2014,134( 2) : 263-268.
[6] Takao M,Matsui K,Stone JW, et al . Arthroscopic anterior talofibular ligament repair for lateral instability of the ankle[J]. Knee Surg Sports Traumatol Arthrosc, 2016,24(4):1003-1006.
[7] 赵宏谋,张言,胡东,等.支撑钢板与螺钉固定治疗旋后-内收型Ⅱ度踝关节骨折的比较研究[J].中国修复重建外科杂志,2017,31(5):553-558.
[8] Cao S,Wang C, Ma X, et al .Imaging diagnosis for chronic lateral ankle ligament injury: a systemic review with meta-analysis[J]. J Orthop Surg Res, 2018,13(1):122.
[9] 唐刚健, 贺富豪, 屈宗斌,等. 踝关节镜下自体腓骨长肌腱解剖重建距腓前韧带治疗踝关节外侧不稳的临床研究[J].中国内镜杂志, 2019, 25(1):80-84.
[10] Cottom JM,Rigby R B.The “all inside”arthroscopic Brostrom procedure: a prospective study of 40 consecutive patients[J]. J Foot Ankle Surg, 2013,52(5):568-574.
[11] Lee KB, Bai LB, Song EK, et al . Subtalar arthroscopy for sinus Tarsi syndrome: arthroscopic findings and clinical outcomes of 33 consecutive cases[J]. Arthroscopy, 2008, 24(10): 1130-1134.