摘要
目的探讨下胫腓弹性钩钢板和Endobutton带袢纽扣钢板治疗下胫腓联合损伤的可行性及疗效。方法回顾性分析自2013年9月至2014年11月采用下胫腓弹性钩钢板(A组,12例)及Endobutton带袢纽扣钢板(B组,17例)治疗的下胫腓联合损伤29例。比较两组患者手术时间,术后负重时间,术后当天、术后3月、6月、12月的下胫腓联合关节间隙(TBCS),术后3月、6月、12月踝关节功能评估(AOFAS评分)。结果 29例患者均获得12个月以上的随访,A、B两组在手术时间及术后负重时间上,均差异无统计学意义(P>0.05),术后当天、术后3月、6月、12月时TBCS差异均无统计学意义(P>0.05),术后3月AOFAS评分B组高于A组(P<0.05),术后6月及12月AOFAS评分差异均无统计学意义(P>0.05)。结论弹性钩钢板和Endobutton钢板均可有效弹性固定下胫腓联合的损伤,Endobutton钢板术后早期踝关节功能恢复更好。
Objective To explore the feasibility and clinical effect of the elastic hook plate and En- dobntton plate for the treatment of distal tibiofibular syndesmosis injury. Methods From September 2013 to November 2014,29 patients with distal tibiofibular syndesmosis injury were divided into two groups, 12 cases in group A were treated with the elastic hook plate and 17 cases in group B were treated with Endobutton plate. The operation time, postoperative weight-bearing time, postoperative day and 3-,6-, 12-month TBCS, postoper- ative 3-month, 6-month, 12-mongth AOFAS score were compared between the two groups. Results All of patients were followed up for more than 12 months. There was no significant difference between the two groups in operation time, postoperative weight-bearing time, postoperative day and 3-, 6-, 12-month of TBCS, 6- and 12-month of AOFAS score （P 〉 0.05 ） . But the postoperative 3-month AOFAS score between the two groups was statistically significant （ P 〈 0. 05 ） with a higher result in group B. Conclusion Both the elastic hook plate and Endobutton plate can be effective elastic fixation for repair of distal tibiofibular syndesmosis injury. With the advantages of early ankle joint activity function, the Endobutton plate therapy is a good method for dis- tal tibiofibular syndesmosis injury.
出处
《中国现代手术学杂志》
2016年第3期189-193,共5页
Chinese Journal of Modern Operative Surgery
关键词
下胫腓联合
损伤
钢板
内固定器
lower tibiofibular ligament union
injury
plates
internal fixators
