Effect of internal fixation combined with inferior tibiofibular ligament repair on healing quality of ankle fracture with inferior tibiofibular joint injury
Li Ye, Lei Pei, Qiang LiuAbstract:
Objective
To investigate the clinical effect of internal fixation combined with anterior ligament repair of lower tibiofibular syndesmosis in the treatment of ankle fracture with lower tibiofibular syndesmosis injury.
Methods
From November 2017 to December 2021, 94 patients with ankle fracture and lower tibiofibular syndesmosis injury were selected as the research objects. According to the random number table generated by statistical software, the patients with ankle fracture and lower tibiofibular syndesmosis injury were divided into combined group and control group, with 47 cases in each group. The patients in the combined group were treated with internal fixation combined with anterior ligament repair of lower tibiofibular syndesmosis, while the patients in the control group were treated with internal fixation combined with lower tibiofibular syndesmosis fixation. The operation time, bleeding volume, hospitalization time and fracture healing time of the two groups were compared.
Results
The operation time of the combined group was longer than that of the control group (P<0.05). The amount of bleeding, hospitalization time and fracture healing time of the two groups were compared and analyzed (P>0.05). The parameters of the lower tibiofibular space and the parameters of the lower tibiofibular overlap were compared between the combined group and the control group before operation, 3 months and 6 months after operation. The parameters of the lower tibiofibular space in the combined group were lower than those in the control group at 3 months and 6 months after operation, and the parameters of the lower tibiofibular overlap at 3 months after operation were higher than those in the control group (P<0.05)
Conclusion
Internal fixation combined with anterior ligament repair of lower tibiofibular syndesmosis in the treatment of ankle fracture with lower tibiofibular syndesmosis injury. Although the operation time is prolonged, it has a considerable effect on improving the reduction effect, promoting the recovery of joint function and reducing surgical complications.