摘要
目的:探讨切口复位内固定术(ORIF)联合韧带修复术在踝关节骨折伴三角韧带损伤患者中的应用效果。方法:选取84例贵黔国际总医院2020年8月—2022年8月收治的踝关节骨折伴三角韧带损伤患者,按随机数字表法分为两组,各42例。对照组行ORIF治疗,观察组加用韧带修复术治疗。比较两组手术情况、疼痛评分、踝关节恢复情况、足踝功能、生活质量及并发症发生情况。结果:观察组手术时间为(111.25±8.96)min,长于对照组的(98.74±8.45)min,住院时间、骨折愈合时间分别为(15.89±1.42)d、(11.85±1.34)周,均短于对照组的(18.05±1.46)d、(13.54±1.42)周,差异均有统计学意义(P<0.05)。观察组术后7d、术后3个月时视觉模拟评分法(VAS)评分分别为(3.05±0.42)、(1.02±0.23)分,均低于对照组的(3.87±0.46)、(1.35±0.26)分,差异均有统计学意义(P<0.05)。术后,观察组踝关节外翻角为(24.12±2.04)°,小于对照组的(28.63±2.11)°,外翻力度、美国足踝外科医师协会(AOFAS)踝-后足评分系统评分分别为(489.74±25.41)N、(89.65±6.25)分,均优于对照组的(460.45±23.63)N、(80.41±6.08)分,踝关节内侧间隙为(2.45±0.36)mm,小于对照组的(3.05±0.42)mm,差异均有统计学意义(P<0.05)。术后,观察组生理、心理、社会及环境领域评分分别为(88.25±5.24)、(87.28±5.19)、(89.13±5.25)、(90.52±4.12)分,均高于对照组的(81.32±5.21)、(80.11±5.09)、(82.34±5.18)、(83.57±4.58)分,差异均有统计学意义(P<0.05)。两组并发症发生率相比,差异无统计学意义(P>0.05)。结论:ORIF联合韧带修复术治疗踝关节骨折伴三角韧带损伤效果更佳,缩短骨折愈合时间,加快足踝功能恢复,改善术后生活质量,安全可靠。
Objective:To investigate the application effect of open reduction and internal fixation(ORIF)combined with ligament repair in patients with ankle fracture with trigonal ligament injury.Method:A total of 84 patients with ankle fracture with trigonal ligament injury admitted to Guiqian International General Hospital from August 2020 to August 2022 were selected,divided into two groups according to the random number table method,with 42 cases in each group.The control group was treated with ORIF,and the observation group was additional treated with ligament repair.Surgery conditions,pain scores,ankle joint recovery,foot and ankle function,quality of life,and incidence of complications were compared between the two groups.Result:The surgical time in the observation group was(111.25±8.96)min,which was longer than(98.74±8.45)min in the control group,the hospital stay and fracture healing time were(15.89±1.42)d and(11.85±1.34)weeks,respectively,which were shorter than(18.05±1.46)d and(13.54±1.42)weeks in the control group,the differences were statistically significant(P<0.05).At 7 days and 3 months after surgery,the visual analogue scale(VAS)scores of the observation group were(3.05±0.42)and(1.02±0.23)points,respectively,which were lower than(3.87±0.46)and(1.35±0.26)points of the control group,the differences were statistically significant(P<0.05).After surgery,ankle eversion angle of(24.12±2.04)°in the observation group,which was lower than(28.63±2.11)°in the control group,the eversion force and the American orthopedic foot and ankle society(AOFAS)ankle hind foot scoring system scores were(489.74±25.41)N and(89.65±6.25)points,respectively,which were higher than(460.45±23.63)N and(80.41±6.08)points in the control group,the medial ankle joint gap was(2.45±0.36)mm,which was lower than(3.05±0.42)mm in the control group,the differences were statistically significant(P<0.05).After surgery,the physiological,psychological,social,and environmental scores of the observation group were(88.25±5.24),(87.28±5.1
作者
蔡剑
CAI Jian(Department of Orthopedics,Guiqian International General Hospital,Guiyang 550024,China)
出处
《中国医学创新》
CAS
2024年第8期56-60,共5页
Medical Innovation of China
关键词
踝关节骨折
三角韧带损伤
切开复位内固定术
韧带修复术
足踝功能
Ankle fracture
Triangular ligament injury
Open reduction and internal fixation
Ligament repair
Ankle function
