[踝关节骨折伴三角韧带损伤的手术治疗]
[Surgical treatment of deltoid ligament injury associated with ankle fractures].
作者信息
Xu Hai-Lin, Xu Lei, Zhang Pei-Xun, Wang Tian-Bing, Fu Zhong-Guo, Zhang Dian-Ying, Jiang Bao-Guo
机构信息
Department of Trauma and Orthopeadics, Peking University People's Hospital; Peking University Traffic Medicine Center, Beijing 100044, China.
出版信息
Beijing Da Xue Xue Bao Yi Xue Ban. 2013 Oct 18;45(5):704-7.
OBJECTIVE
To observe the clinical outcome after the surgical treatment of the deltoid ligament injury associated with ankle fractures.
METHODS
From January 2005 to December 2009, 16 deltoid ligament ruptures associated with ankle fractures were repaired. According to the AO/OTA system, 2 cases belonged to fracture A, 8 to B, and 6 to C. Radiographs, American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores and visual analogue scale (VAS) were used for the outcome measurements.
RESULTS
The 16 patients were followed up for 30 to 84 months,with the mean follow-up of 47 months. All wounds healed at the first stage. The mean time of bone union was 12.8 weeks (range: 10-14 weeks). The mean AOFAS ankle-hindfoot score in the last follow-up was 93 points (range: 85-100 points). The mean score of VAS was 0.94 points (range: 0-2 points).
CONCLUSION
Surgical treatment of ankle fractures associated with deltoid ligament rupture can achieve satisfactory outcomes, but it is important to decide the operation indication.
目的
观察踝关节骨折合并三角韧带损伤手术治疗后的临床疗效。
方法
2005年1月至2009年12月，对16例踝关节骨折合并三角韧带断裂患者进行修复。根据AO/OTA系统，2例属于A型骨折，8例属于B型骨折，6例属于C型骨折。采用X线片、美国足踝外科协会（AOFAS）踝-后足评分和视觉模拟评分（VAS）进行疗效评估。
结果
16例患者随访30至84个月，平均随访47个月。所有伤口均一期愈合。平均骨愈合时间为12.8周（范围：10 - 14周）。末次随访时AOFAS踝-后足平均评分为93分（范围：85 - 100分）。VAS平均评分为0.94分（范围：0 - 2分）。
结论
手术治疗踝关节骨折合并三角韧带断裂可取得满意疗效，但决定手术适应证很重要。
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