19 22 2015 05 28 Chinese Journal of Tissue Engineering Research May 28, 2015 Vol.19, No.22 (253 010051) 1 2 3 2013 (13QNP014) 1973 1997 253 010051 :R318 :A :2095-4344 (2015)22-03565-06 2015-03-16 http://www.crter.org 2010 1 2013 1 27 1 11 35 23 74.1%. [J]. 2015 19(22):3565-3570. doi:10.3969/j.issn.2095-4344.2015.22.023 Suture anchors for the repair of deltoid ligament injury: restore the stability of ankle joint Tian Yong, Ma Xiao (Department of Orthopedics, the 253 Hospital of Chinese PLA, Hohhot 010051, Inner Mongolia Autonomous Region, China) Abstract BACKGROUND: Ankle fractures combined with deltoid ligament injury are not uncommon in clinical practice, prone to misdiagnosis and missed diagnosis, resulting in ankle instability, chronic pain and traumatic arthritis. In recent years, because of the research and development of anatomy and biomechanical characteristics of deltoid ligament, the treatment and surgical methods of ankle fracture combined with deltoid ligament injury have progress and development, but it remains controversial. OBJECTIVE: To evaluate the clinical effect of suture anchor repair in the treatment of ankle fracture combined with deltoid ligament injury. METHODS: Twenty-seven patients with ankle fracture combined with deltoid ligament injury were selected between January 2010 and January 2013. The lateral malleolus and posterior malleolus fracture patients were treated with open reduction and internal fixation, and all the deltoid ligament injury patients were treated with anchor repair. The tibiofibular syndesmosis isolated patients received internal fixation with a cancellous bone screw. RESULTS AND CONCLUSION: All 27 patients were followed-up for 11 35 months, averagely 23 months. The evaluation according to the American Orthopaedic Foot and Ankle Society score system showed that the excellent and good rate was 74.1%. The results indicate that anchor could perfectly restore the stability of ankle joint. Tian Yong, Master, Associate chief physician, Department of Orthopedics, the 253 Hospital of Chinese PLA, Hohhot 010051, Inner Mongolia Autonomous Region, China Corresponding author: Tian Yong, Department of Orthopedics, the 253 Hospital of Chinese PLA, Hohhot 010051, Inner Mongolia Autonomous Region, China Accepted: 2015-03-16 ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH 3565
. Subject headings: Tissue Engineering; Ankle Joint; Fractures, Bone Funding: the Military Medical Science and Technology Youth Training Project in 2013, No. 13QNP014 Tian Y, Ma X. Suture anchors for the repair of deltoid ligament injury: restore the stability of ankle joint. Zhongguo Zuzhi Gongcheng Yanjiu. 2015;19(22):3565-3570. 0 Introduction 50% [1] [2] 10% 15% [3] 26% [4-6] [7-9] [10-11] [12] [13] 2010 1 2013 1 Fastin RC 5 mm [14] 1 Subjects and methods 2010 1 2013 1 253 27 18 921 63 42 10 11 6 1611 Lauge-Hansen [15] 13 7 727 X 20 7 13 25% 9 1 7 d 4 d 10 (Non-absorbable Suture Anchor System) YZB/USA 1829-2008 Fastin RC 5mm (6 4) (Ethibond ) ( ) ( ) Fastin RC 5 mm 3566 P.O. Box 10002, Shenyang 110180
. 1 30 3 4 C [14 16-19] 2 U 4 6 8 12 16 1 1 (American orthopedic foot and ankle society AOFAS) [20] AOFAS 85 75 8560 7560 x _ ±s t 2 SPSS 17.0 P 0.05 2 Results 2.1 27 27 2.2 (P < 0.05) (P > 0.05) 1 2.3 40 110 min 75 min 7 16 d 11.5 d 27 11 35 23 X 13 28 20.5 AOFAS 27 9 11 ( 20 ) 5 2 ( 7 ) 74.1% 2.4 31 2 h Lauge-Hansen 3 3 2 2.5 0.4 11.0 mm 6 4 Ethibond 3 Discussion Lauge-Hansen X 2 mm 4 mm [21] X [22] MRI [22-23] C X > 4 mm [24] [25] ISSN 2095-4344 CN 21-1581/R CODEN: ZLKHAH 3567
. 27 27 1 Figure 1 Flowchart of intervention A B 2 ( 31 ) X Figure 2 Images of a 31-year-old male patient with ankle fracture and deltoid ligament injury before and after suture anchor repair A X 9 mm B X ( 1 1 1 mm 1 Table 1 Clinical data of patients AOFAS (n=20) AOFAS (n=7) (x _ ±s ) 36.2±8.3 53.8±21.9 a 40 (n) 13 1 > 40 (n) 7 6 [n(%)] 12(60) 4(57.1) 8(40) 3(42.9) [n(%)] 10(50) 3(42.9) a 6(30) 1(14.3) a 4(20) 3(42.8) a 3.0±2.1 5.4±1.5 a (x _ ±s d) 4 d(n) 14 2 > 4 d(n) 6 5 [n(%)] 12(60) 4(57.1) 8(40) 3(42.9) a P < 0.05 AOFAS 15% 20% [26] 1 mm 20% 40%5 mm 80% [26] [27] [28] [29] [30-50] 2 3568 P.O. Box 10002, Shenyang 110180
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