Recent curative effect of polyethylene terephthalate artificial ligament reconstruction for the treatment of distal tibiofibular syndesmosis injury
10.11659/jjssx.05E015065
- VernacularTitle:聚对苯二甲酸乙二酯人工韧带重建术治疗下胫腓联合损伤
- Author:
Yingchao SHEN
;
Qiang WANG
- Publication Type:Journal Article
- Keywords:
polyethylene terephthalate;
artificial ligament;
distal tibiofibular syndesmosis;
injury
- From:
Journal of Regional Anatomy and Operative Surgery
2016;(2):94-97,98
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of polyethylene terephthalate artificial ligament revascularization on the treatment of distal tibiofibular syndesmosis injury .Methods The data of 18 patients with distal tibiofibular syndesmosis injury in our hospital from March 2013 to March 2014 were retrospectively analyzed .Fourteen patients received the bilateral suspension fixed technology ,and 4 cases were fixed with unilateral suspension fixation by extrusion screw which could be absorbed .The ankle joint mobility was measured during the follow-up,which were evaluated by American orthopedic foot and ankle society ( AOFAS) .Results Eighteen patients with distal tibiofibular syndesmosis in-jury were followed up for 12~17 months,with an average of 13.5 months.Imagings showed that the tibiofibular space was normal on postop-erative X-ray films,and there was no lost in 1 year.The PET of artificial ligaments were taken out ,and the artificial ligament and bone tissue were combined with a good ligament toughness .The pathological examination revealed the fibrous tissue grew in the artificial ligaments .Ac-cording to AOFAS ankle function grading evaluation of curative effect ,11 cases were excellent ,6 cases were good ,and 1 case was not obvious . Conclusion PET artificial ligament revascularization can recover the hinge functions of tibiofibular syndesmosis for patients with early recov -ery of ankle plantar flexion range in a short time .Different ways of fixed ligament had no obvious effect on functional recovery ,however,the extrusion screw technology can shorten the time of surgery .
