Influence of suture anchor repair and modified open Brostr?m repair on postoperative ankle function in patients with chronic ankle instability and anterior talofibular ligament injury
Aim To investigate the influence of suture anchor repair and modified open Broström repair on postoperative an-kle function in patients with chronic ankle instability complicated with anterior talofibular ligament(ATFL)injury.Methods 80 patients with chronic ankle instability and ATFL injury were enrolled in the study.According to different treatment methods,43 pa-tients with suture anchor repair were used as anchor group,and 37 patients with modified open Broström repair were included in Broström group.The perioperative indicators and pain status before surgery and at 1 week,1 month,3 months and 1 year after sur-gery,as well as ankle function and ankle activity before surgery and at 1 year after surgery,were compared between the two groups,and the complications were recorded.Results The weight-bearing time and return-to-exercise time in anchor group were signifi-cantly shorter than those in Broström group(P＜0.05).At 1 week,1 month,3 months and 1 year after surgery,the pain VAS score in the two groups was decreased gradually compared with that before surgery,and the VAS scores in anchor group at 1 week and 1 month af-ter surgery were significantly lower than those in Broström group(P＜0.05).The AOFAS ankle scale score,Tegner score and Kofoed ankle function score in both groups were significantly increased at 1 year after surgery compared with those before surgery(P＜0.05),and the above scores were significantly higher in anchor group than those in Broström group(P＜0.05).At 1 year after surgery,the dorsi-flexion angle and plantar flexion angle in both groups were enhanced significantly,while the talus inclination and talus anterior displace-ment were declined significantly compared with them before surgery,and the differences between the two groups were statistically signifi-cant(P＜0.05).The total incidence rate of complications in anchor group was significantly lower than that in Broström group(P＜0.05).Conclusion Suture anchor repair has more advantages in relieving pain,improving ankle function and activity,promoting rehabilitation process and reducing postoperative complications of patient with ATFL injury compared with modified open Broström repair.
万方数据
维普
