踝关节骨折合并三角韧带损伤的修复
The surgical therapy of ankle fracture combined with the deltoid ligament damage
目的 探讨踝关节骨折合并三角韧带损伤时手术修复三角韧带的方法。 方法 对17例踝关节骨折合并三角韧带损伤患者采用切开复位内固定并修复重建三角韧带,术后对病人的资料进行随访、分析。 结果 随访时间11~45个月,平均24.7个月,按美国足踝外科协会(AOFAS)踝与后足功能评分标准评估疗效,本组病例中优6例,良7例,可3例,差1例,优良率76.47%。 结论 踝关节骨折合并三角韧带损伤时,手术修复三角韧带能够恢复踝关节的正常生物力学环境和稳定性。
Objective To explore surgical repairing of ankle fracture accompanied with the deltoid ligament damage. Methods 17 patients with ankle fracture accompanied with the deltoid ligament rupture were treated by open reduction, intensified internal fixation, and restoration of broken ligaments.After the surgery, patients were followed up and analyzed. Results The American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score was used to evaluate clinical results of the treatment. In all cases, 6 were excellent, 7 good, 3 passable, and only 1 poor. The rate of good and excellence was about 76.47%. Conclusions For cases of ankle fracture combined with deltoid ligament rupture, surgical treatment is helpful for recovering mechanical stability of ankle joint.
Ankle joint / Deltoid ligament / Internal fixation / Surgical therapy
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