| Objective To investigate the clinical efficacy of anchor repair combined with open reduction internal fixation in the treatment of ankle fracture with triangular ligament injury.Methods A total of 140 patients with ankle fracture and triangular ligament injury diagnosed by ankle X-ray from August 2015 to October 2016 were chosen as the research object.According to the computer digital table, they were randomly divided into the observation group and the control group,with 70 cases in each group.The observation group was treated with anchor fixation combined with open reduction and internal fixation, while the control group with transcatheter tibiofibular screw fixation.After treatment,Baird-Jackson score, ankle-hind foot score (AOFAS score), pain visual analog scale were adoptedand the efficacy of surgery was thereby assessed.Postoperative follow-up was 6 to 12 months, withan average of 8.4 months.Results The excellent and good rate of Baird-Jackson score was 92.8% in the observation group and 77.1% in the control group, and the differencehad statistical significance(P<0.05).The AOFAS score in the observation group 1 month after surgery was (77.26±8.03) points, 6 months after surgery was(94.12±8.63) points,whichwere higher than that ofthe control group of the same time, and the differencewas statistically significant (P<0.05).There was no significant difference in AOFAS score between the two groups 12 months after surgery (P>0.05).The oblique angle of the talus was (4.61±1.42) °, and the distance from the talus was (3.09±1.21) cm,both of which were shorter than those in the control group (P<0.05).In the observation group, the pain visual analogue score was (4.93±1.03), and1 month after treatment was (2.14±0.92) points.In the control group, the day of treatment was (5.12±1.06) points, and1 month after treatment was (3.21±0.95) points.There wassignificant difference between the two groups after 1 month of treatment (t=5.661, P=0.03).Follow-up indicated that fractures were successfully healed, withoutinternal fixation rupture, loose, nonunion and other adverse events.Conclusion Ankle fixation combined with open reduction and internal fixation is effective in the treatment of ankle fracture with triangular ligament injury. |
