《中国期刊全文数据库》收录期刊
《中国核心期刊（遴选）数据库》收录期刊
《中文科技期刊数据库》收录期刊
外科研究与新技术（中英文）

外科研究与新技术 ›› 2016, Vol. 5 ›› Issue (4): 248-251.

• 论著 • 上一篇    下一篇

Knotless TightRope下胫腓联合缝合器治疗陈旧性下胫腓联合损伤伴下胫腓分离的随机对照临床研究

闵晓晖1,茅凌洲1,丛锐军2   

  1. 1. 上海同济大学附属同济医院
    2. 上海同济大学附属第十人民医院
  • 收稿日期:2016-09-19 修回日期:2016-10-26 出版日期:2016-12-28 发布日期:2017-02-17
  • 通讯作者: 茅凌洲 E-mail:joe1971@126.com

Clinical efficacy ofsuture-fixationfor the old injury of distal tibiofibularsyndesmosis treatedwith Knotless TightRope

  • Received:2016-09-19 Revised:2016-10-26 Online:2016-12-28 Published:2017-02-17

PDF (PC)

715

摘要： [摘要]目的探讨Knotless TightRope缝合器治疗陈旧性下胫腓联合损伤伴分离的临床疗效。方法连续52例陈旧性损伤患者接受手术，依次分为试验组和对照组，先进行满意复位。试验组使用Knotless TightRope下胫腓联合缝合器固定,对照组采用4.5mm螺钉固定。记录患者术后的VAS评分、AOFAS评分、SF-36评分和踝关节活动度，并记录术后伤口感染、内固定断裂及下胫腓联合再分离等并发症。结果 本组52例均获随访，平均随访时间22.3个月。踝关节活动度两组间无统计学差异；VAS评分、SF-36评分、AOFAS评分术后3月、6月无统计学差异；术后22月存在统计学差异。两组均无伤口感染，试验组无再次胫腓分离发生，对照组5例内固定断裂后发生胫腓再次分离，组间统计学差异存在显著性。 结论Knotless TightRope下胫腓联合缝合器治疗陈旧性下胫腓联合损伤伴下胫腓分离的中期疗效确切，具有固定效果可靠、 不存在内固定断裂、且患者可早期负重锻炼等优点。

关键词: 下胫腓联合, 损伤, 修复重建

Abstract: [Abstract] ObjectiveTo investigate the clinical efficacy of suture-fixationfor the old injury of distal tibiofibular syndesmosis treated with Knotless TightRope.Methods52 consecutive patients undergoing surgery were divided into experimental and control groups.The experimental group was treated by Knotless TightRope, Control group was treated with 4.5mm screws. Postoperative complications, motion range of ankle-joint,VAS score, AOFAS score, SF-36 scores were recorded.Result Average follow-up period of 52 patients is 22.3 months. All scores have no significant difference after 6 months follow-up, but there is statistical difference in 22 months. All cases healed without infection. In experimental group,no re-seperation was observed.In control group,distal tibiofibular syndesmosis seperated in 5 patients after fixation breakage.ConclusionKnotless TightRopehas definite clinical effect to for the old injury of distal tibiofibularsyndesmosis.Reliable fixation has the advantages of early exercise with full weight bearing.