Huang Zhenfeng, Chen Mengni, Ye Zhiwei
Zhenfeng Huang Department of Traumatology and Orthopedics, Wuhan Fourth Hospital, Wuhan, Hubei Province 430000, P.R. China.
Mengni Chen Department of Operating Room, Tongji Hospital Affiliated to Tongji Medical, College of Huazhong University of Science & Technology, Wuhan, Hubei Province 430030, P.R. China.
Pak J Med Sci. 2024 Nov;40(10):2350-2355. doi: 10.12669/pjms.40.10.10308.
To evaluate the efficacy of titanium locking plate combined with suture anchor (SA) repair in the treatment of ankle fractures (AF).
Retrospective analysis of clinical data of 170 patients with AF who underwent surgical treatment at the Department of Traumatology and Orthopedics of Wuhan Fourth Hospital, China from May 2020 to June 2023 was conducted. A total of 83 patients underwent conventional open reduction and internal fixation (control group); 87 patients received titanium locking plates combined with SA repair (observation group). Ankle joint functional recovery (measured using the Mazur Ankle Grading Scale), quality of life (measured using the Generic Quality of Life Inventory-74), and incidence of complications were compared between two groups. Active range of motion and muscle strength of the ankle joint in plantar flexion and dorsiflexion states, and medial clear space and talar tilt angle were also analyzed.
The rate of excellent recovery of ankle joint function in the observation group was significantly higher than that in the control group (<0.05). Six months after surgery, active range of motion and muscle strength of the ankle joints in the plantar flexion and dorsiflexion states in the observation group was significantly higher than that in the control group (<0.05). The medial clear space and talar tilt angle of the observation group was significantly smaller compared to the control group (<0.05). The quality of life in the observation group was significantly higher than that in the control group, and the incidence of complications in the observation group was significantly lower than that in the control group (<0.05).
Titanium locking plates combined with SA repair for the treatment of AF can significantly improve ankle joint functional recovery, improve the quality of life of patients, and is associated with a lower incidence of complications.
评估钛锁定钢板联合缝线锚钉（SA）修复术治疗踝关节骨折（AF）的疗效。
回顾性分析2020年5月至2023年6月在中国武汉第四医院创伤骨科接受手术治疗的170例AF患者的临床资料。其中83例患者接受传统切开复位内固定术（对照组）；87例患者接受钛锁定钢板联合SA修复术（观察组）。比较两组患者的踝关节功能恢复情况（采用Mazur踝关节评分量表测量）、生活质量（采用一般生活质量量表-74测量）及并发症发生率。同时分析踝关节在跖屈和背伸状态下的活动范围、肌肉力量，以及内侧间隙和距骨倾斜角。
观察组踝关节功能优良恢复率显著高于对照组（<0.05）。术后6个月，观察组踝关节在跖屈和背伸状态下的活动范围及肌肉力量显著高于对照组（<0.05）。观察组的内侧间隙和距骨倾斜角显著小于对照组（<0.05）。观察组的生活质量显著高于对照组，且观察组的并发症发生率显著低于对照组（<0.05）。
钛锁定钢板联合SA修复术治疗AF可显著提高踝关节功能恢复情况，改善患者生活质量，且并发症发生率较低。
