Clinical study on repair of anchors with wire combined with open reduction and internal fixation in the treatment of ankle fractures complicated with triangle ligament injury
10.3760/cma.j.issn.1008-6706.2017.14.019
- VernacularTitle:带线锚钉修复联合切开复位内固定治疗踝关节骨折合并三角韧带损伤
- Author:
Weinan HU
;
Haiyong CUI
- Keywords:
Fractures;
bone;
Ankle joint;
Fracture fixation;
internal;
Bone nails
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(14):2147-2151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the clinical effect of repair of anchors with wire combined with open reduction and internal fixation in the treatment of ankle fractures complicated with triangle ligament injury.Methods Seventy patients with ankle fractures complicated with triangle ligament injury in our hospital were selected as the research subjects.They were divided into study group and control group according to the random digital table method,35 cases in each group.The control group was treated with open reduction and internal fixation,while the study group was treated with repair of anchors with wire based on the control group.The clinical treatment effect,scores of VAS at different moments and complications were observed and compared between the two groups.Results The total effective rate in the study group was 91.42%,which was higher than 74.29% in the control group(x2=3.846,P<0.05).The scores of VAS in the control group at 1,3,6 and 12 months after operation were (7.21±1.04)points,(6.85±0.72) points,(3.32±0.31) points,(2.01±0.12) points,respectively,which of the study group were (6.34±1.23) points,(5.42±0.84) points,(3.28±0.24) points,(1.87±0.42) points,which of the study group at 1 and 3 months after operation were lower than those of the control group(t=3.195,7.647,all P<0.05),while the differences in the scores of VAS at 6 and 12 months after operation between the two groups were not statistically significant(P>0.05).The incidence rate of complications in the study group was 8.57%,which was lower than 14.29% in the control group(x2=1.146,P>0.05).Conclusion The repair of anchors with wire combined with open reduction and internal fixation in the treatment of ankle fractures complicated with triangle ligament injury can effectively improve the clinical treatment effect.
