Comparison of clinical effects of two methods for treatment of ankle fracture involving lower tibiofibular syndesmosis with triangular ligament injury
10.3760/cma.j.cn101721-20230313-000088
- VernacularTitle:两种治疗踝关节骨折累及下胫腓联合伴三角韧带损伤方法的临床效果比较
- Author:
Tianyu ZHANG
1
;
Lei WANG
Author Information
1. 河北省唐山市第二医院创伤四科，唐山 063000
- Keywords:
Ankle joint;
Triangular ligament;
Loop steel plate;
Inferior tibiofibular syndesmosis
- From:
Clinical Medicine of China
2023;39(5):332-336
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects of two methods for the treatment of ankle fracture involving lower tibiofibular syndesmosis with triangular ligament injury.Methods:From January 2019 to November 2022, the data of patients with Weber B and C-type ankle fractures involving lower tibiofibular syndesmosis with triangular ligament injury in Tangshan Second Hospital were analyzed. The patients were divided into observation group (45 cases) and control group (39 cases) according to the principle of comparability between the groups of gender, age, injury cause and injury site, Both the treatment of lower tibiofibular syndesmosis and triangular ligament injury with loop steel plate and the treatment of lower tibiofibular syndesmosis injury with loop steel plate, as well as the full layer repair of triangular ligament with wire anchor nail, were used for treatment. Record and compare the fracture healing time, surgical time, surgical cost, American Orthopedic Foot and Ankle Society (AOFAS) score, Visual Analogue Scale (VAS) score, Tibiofibular Clear Space (TFCS) score Medial clear space (MCS), etc.Results:The fracture healing time in the observation group was (4.36±1.26) months, while the fracture healing time in the control group was (4.08±1.35) months. There was no statistically significant difference between the two groups (t=0.978, P=0.331). The observation group had a surgical time of (85.72±14.54) minutes, while the control group had a surgical time of (109.76±14.02); Observation group surgery cost (37 048±2 299.53) Font: ( t=0.978 p=0.331) Delete ( t=7.706 p<0.001) Delete: yuan, control group surgery cost (39 040.22±2 306.02); The differences between the two groups were statistically significant (t-values were 7.71 and 3.95, respectively, P<0.001). The AOFAS score of the observation group was (81.18±3.77) points, while the AOFAS score of the control group was (81.26±3.91) points; The VAS score of the observation group was 0.90±0.38 points, while the VAS score of the control group was 0.87±0.39 points. There was no statistically significant difference between the two groups ( t=0.09, P=0.926; t=0.39, P=0.698). The observation group had a MCS of (3.46±0.25) mm, while the control group had a MCS of (3.53±0.26) mm; The observation group had TFCS (3.49±0.24) mm, while the control group had TFCS (3.47±0.26) mm. There was no statistically significant difference between the two groups ( t=1.24, P=0.217; t=0.21, P=0.833). Conclusions:Although the patients with ankle fracture involving lower tibiofibular syndesmosis and triangular ligament injury can obtain satisfactory clinical results only by using the looped steel plate or the looped steel plate combined with the cable anchor, the application of the looped steel plate alone can reduce the treatment cost of patients, reduce the difficulty of surgery, and reduce the risk of iatrogenic injury of patients.
