Effect of Open Reduction and Internal Fixation Combined with Ligament Repair on Ankle Function in Patients with Ankle Fracture and Triangular Ligament Injury
Objective:To investigate the application effect of open reduction and internal fixation(ORIF)combined with ligament repair in patients with ankle fracture with trigonal ligament injury.Method:A total of 84 patients with ankle fracture with trigonal ligament injury admitted to Guiqian International General Hospital from August 2020 to August 2022 were selected,divided into two groups according to the random number table method,with 42 cases in each group.The control group was treated with ORIF,and the observation group was additional treated with ligament repair.Surgery conditions,pain scores,ankle joint recovery,foot and ankle function,quality of life,and incidence of complications were compared between the two groups.Result:The surgical time in the observation group was(111.25±8.96)min,which was longer than(98.74±8.45)min in the control group,the hospital stay and fracture healing time were(15.89±1.42)d and(11.85±1.34)weeks,respectively,which were shorter than(18.05±1.46)d and(13.54±1.42)weeks in the control group,the differences were statistically significant(P＜0.05).At 7 days and 3 months after surgery,the visual analogue scale(VAS)scores of the observation group were(3.05±0.42)and(1.02±0.23)points,respectively,which were lower than(3.87±0.46)and(1.35±0.26)points of the control group,the differences were statistically significant(P＜0.05).After surgery,ankle eversion angle of(24.12±2.04)° in the observation group,which was lower than(28.63±2.11)° in the control group,the eversion force and the American orthopedic foot and ankle society(AOFAS)ankle hind foot scoring system scores were(489.74±25.41)N and(89.65±6.25)points,respectively,which were higher than(460.45±23.63)N and(80.41±6.08)points in the control group,the medial ankle joint gap was(2.45±0.36)mm,which was lower than(3.05±0.42)mm in the control group,the differences were statistically significant(P＜0.05).After surgery,the physiological,psychological,social,and environmental scores of the observation group were(88.25±5.24),(87.28±5.19),(89.13±5.25),and(90.52±4.12)points,respectively,all higher than(81.32±5.21),(80.11±5.09),(82.34±5.18),and(83.57±4.58)points those of the control group,the differences were statistically significant(P＜0.05).There was no statistically significant difference in the incidence of complications between the two groups(P＞0.05).Conclusion:ORIF combined with ligament repair is better in the treatment of ankle fracture with trigonal ligament injury,shortening the fracture healing time,accelerates the functional recovery of foot and ankle function,improves the postoperative quality of life,and is safe and reliable.
Ankle fractureTriangular ligament injuryOpen reduction and internal fixationLigament repairAnkle function
万方数据
维普
