Observation of Clinical Effect of Bone Anchor with Wire in the Treatment of Ankle Joint Fracture Complicated with Lower Tibiofibular Joint Injury
Objective To investigate the clinical effect of linear bone anchor in the treatment of ankle fracture complicated with lower tibiofibular joint injury.Methods A total of 82 patients with ankle fracture combined with lower tibiofibular joint injury admitted to our hospital from April 2021 to April 2023 were selected as the research objects and divided into a control group and an observation group an observation group according to random number table method,with 41 cases in each group.The control group received cortical screw fixation,and the observation group received linear bone anchor repair.The operation status,reduction quality,foot and ankle function,quality of life and complications were compared between the two groups.Results There was no statistically significant difference in surgical time and intraoperative bleeding between the two groups(P＞0.05);the hospitalization and fracture healing time of the observation group were shorter than those of the control group,and the number of fluoroscopy sessions was less than that of the control group,and the differences between the groups were statistically significant(P＜0.05).After surgery,the ankle gap and talus tilt angle in the observation group were lower than those in the control group,and the American Orthopedic Foot and Ankle Society score was higher than that in the control group,with statistically significant differences between the groups(P＜0.05).After surgery,the World Health Organization Quality of Life-BREF scores in various fields in the observation group were higher than those in the control group,and there was a statistically significant difference between the groups(P＜0.05).The incidence of complications in the observation group was 4.88%,lower than 19.51%in the control group,and the difference was statistically significant(P＜0.05).Conclusion Linear bone anchor is more valuable in ankle fracture with lower tibiofibular joint injury,which can reduce the number of fluoroscopy,improve the quality of reduction,accelerate the recovery of ankle function,improve the postoperative quality of life,and is safer and more reliable.
Ankle joint fractureLower tibiofibular syndesmosis injuryBone anchor with threadAnkle joint function
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