摘要
目的:探讨术前跟骨牵引+可吸收螺钉内固定+韧带修复在急性踝关节骨折伴三角韧带损伤中的应用效果。方法:选取2019年5月-2021年5月在青岛市城阳区人民医院治疗的80例急性踝关节骨折伴三角韧带损伤的患者为研究对象,依据病号数字随机法分为对照组与观察组,各40例。对照组实施常规手术治疗,观察组实施术前跟骨牵引+可吸收螺钉内固定+韧带修复,比较两组治疗效果。结果:观察组总有效率高于对照组(P<0.05)。观察组手术时长、骨折愈合时长均短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05)。观察组术后3、6个月VAS评分均低于对照组,AOFAS评分均高于对照组,差异均有统计学意义(P<0.05)。结论:术前跟骨牵引+可吸收螺钉内固定+韧带修复在急性踝关节骨折伴三角韧带损伤中的疗效理想,推荐在临床推广应用。
Objective:To investigate the effect of preoperative calcaneal traction + internal fixation with absorbable screws + ligament repair in acute ankle fractures with deltoid ligament injury.Method:A total of 80 patients with acute ankle fracture and deltoid ligament injury who treated in People’s Hospital of Chengyang District in Qingdao City from May 2019 to May 2021 were selected as the research objects,and they were randomly divided into the control group and the observation group according to the number of patient numbers,40 cases in each group.The control group was given conventional operation,and the observation group was given preoperative calcaneal traction + internal fixation with absorbable screws + ligament repair.The therapeutic effects of two groups were compared.Result:The total effective rate of the observation group was higher than that of the control group (P<0.05).The operation time and fracture healing time of the observation group were shorter than those of the control group,and the amount of intraoperative bleeding was less than that of the control group,the differences were statistically significant (P<0.05).The VAS scores of the observation group at 3 and 6 months after operation were lower than those of the control group,and the AOFAS scores were higher than those of the control group,the differences were statistically significant (P<0.05).Conclusion:Preoperative calcaneal traction + internal fixation with absorbable screws + ligament repair has an ideal effect in the treatment of acute ankle fractures with deltoid ligament injury,it is recommended for clinical application.
作者
任海涛
黄佳军
刘贞通
REN Haitao;HUANG Jiajun;LIU Zhentong(不详;People’s Hospital of Chengyang District in Qingdao City,Qingdao 266109,China)
出处
《中外医学研究》
2022年第23期30-33,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
术前跟骨牵引
可吸收螺钉内固定
韧带修复
急性踝关节骨折
三角韧带损伤
Preoperative calcaneal traction
Internal fixation with absorbable screws
Ligament repair
Acute ankle fracture
Deltoid ligament injury
