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
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.
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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2021, Vol. 38 
