摘要
目的:探讨带线锚钉内固定治疗陈旧性外踝撕脱骨折合并踝关节不稳的临床效果。方法:选取2015年10月-2018年5月外踝骨折AO分型的A1型陈旧性骨折,并且符合病例纳入标准患者36例,采用带线锚钉修复外踝陈旧撕脱骨折同时修复外侧副韧带。术后随访采用美国足踝外科协会(American orthopaedic foot and ankle society,AOFAS)足部功能评分系统,对每足的功能进行评分。术前术后踝部疼痛采用视觉模拟评分(visual analogue scale,VAS),数据结果采用SPSS 21.0软件进行统计学处理,进行t检验,以P<0.05为差异有统计学意义。结果:36例后均获随访10~25个月,平均14.8个月。AOFAS由术前(62.5±14.4)分,改善至术后(94.6±5.2)分,差异有统计学意义(P<0.05)。末次随访AOFAS评分优24例,良10例,可2例,优良率94.4%。踝部疼痛VAS评分术前(7.2±0.6)分,改善至术后的(3.7±0.6)分,差异有统计学意义(P<0.05),末次随访VAS评分优25例,良10例,可1例。踝关节功能及稳定性基本恢复,疼痛缓解。结论:采用带线锚钉内固定治疗陈旧性外踝撕脱骨折,重建外侧解剖结构,可恢复踝关节的功能及稳定性,手术操作简单、创伤较小,是一种有效的治疗方法。
Objective:To investigate the clinical efficacy of internal fixation with suture anchors for the treatment of old avulsion fracture of lateral malleolus and ankle instability.Method:From October 2015 to May 2018,36 patients with type A1 old fractures of the AO classification of lateral ankle fractures were selected,and 36 patients met the criteria for inclusion of the cases.The internal fixation with suture anchors for the treatment of old avulsion fracture of lateral malleolus and ankle instability.Postoperative follow-up was performed using the American orthopaedic foot and ankle society(AOFAS)foot function scoring system to score the function of each foot.Visual analogue scale(VAS)was used for preoperative and postoperative pain of the ankle.The data was analyzed by SPSS 21.0 software and t-test was performed.P<0.05 was considered statistically significant.Result:All the 36 cases were followed up for 10-25 months,with an average of 14.8 months.AOFAS improved from preoperative(62.5±14.4)points to postoperative(94.6±5.2)points(P<0.05).The final follow-up score was excellent in 24 cases,good in 10 cases,fair in 2 cases,excellent and good rate 94.4%.VAS score was improved from preoperative(7.2±0.6)points to postoperative(3.7±0.6)points(P<0.05).The final follow-up VAS score was excellent in 25 cases and good in 10 cases,fair in 1 case.Ankle joint function and stability were basically restored and pain was relieved.Conclusion:The use of suture anchor internal fixation for the treatment of old external avulsion fracture can restore the function and stability of the ankle joint.The operation is simple and the wound is small.It is an effective treatment method.
作者
高建国
张致得
许再超
赵胜军
陈文君
张奉琪
GAO Jianguo;ZHANG Zhide;XUZaichao;ZHAO Shengjun;CHEN Wenjun;ZHANG Fengqi(Chengde Central Hospital,Chengde 067000,China)
出处
《中外医学研究》
2020年第5期25-28,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
带线锚钉
外踝撕脱骨折
踝关节不稳
陈旧性骨折
Suture anchor
Avulsion fracture of lateral malleolus
Ankle instability
Old fracture
