Effects of inferior tibiofibular ligament repair combined with screw fixation in treatment of ankle fracture combined with inferior tibiofibular ligament injury
Objective:To observe effects of inferior tibiofibular ligament repair combined with screw fixation in treatment of ankle fracture combined with inferior tibiofibular ligament injury. Methods:The clinical data of 80 patients with ankle fracture combined with inferior tibiofibular ligament injury admitted to Xi'an Yanliang District Hospital of Traditional Chinese Medicine from October 2021 to October 2023 were retrospectively analyzed. According to different surgical methods,they were divided into control group and observation group,40 cases in each group. The control group was treated with inferior tibiofibular screw fixation,while the observation group was treated with inferior tibiofibular ligament repair on the basis of that of the control group. The excellent and good rate of surgery,the scores of pain[visual analogue scale (VAS)]and ankle function[American orthopaedic foot and ankle society (AOFAS) ankle-hindfoot]before and after the surgery,and the incidence of complications were compared between the two groups. Results:The excellent and good rate of surgery in the observation group was 92.50％ (37/40),which was higher than 75.00％ (30/40) in the control group,and the difference was statistically significant (P<0.05). 1 and 2 months after the surgery,the VAS scores of the two groups were lower than those before surgery,those in the observation group were lower than those in the control group,and the differences were statistically significant (P<0.05). 2 months after the surgery,the AOFAS ankle-hindfoot scores of the two groups were higher than those before surgery,that in the observation group was higher than that in the control group,and the differences were statistically significant (P<0.05). Further,the incidence of complications in the observation group was 5.00％ (2/40),which was lower than 22.50％ (9/40) in the control group,and the difference was statistically significant (P<0.05). Conclusions:Inferior tibiofibular ligament repair combined with screw fixation in the treatment of ankle fracture combined with inferior tibiofibular ligament injury can improve the excellent and good rate of surgery and the ankle function scores and reduce the pain scores and the incidence of complications. Moreover,it is superior to simple inferior tibiofibular screw fixation.
万方数据
维普
