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| The Effect of Surgical Internal Fixation in the Treatment of Ankle Joint Fractures Combined with Lower Tibiofibular Ligament Injury |
| YANG Kaixing |
| First-author's address: Bijie Hospital of Traditional Chinese Medicine, Guizhou Province, Bijie 551700, China |
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Abstract Objective: To explore the effectiveness of surgical internal fixation in the treatment of ankle joint fractures combined with lower tibiofibular ligament injury. Method: This study prospectively selected 84 patients with ankle fracture combined with lower tibiofibular ligament injury treated in Bijie Hospital of Traditional Chinese Medicine from December 2020 to January 2023 as the test subjects. The patients were divided into study group and control group by random number table method, 42 cases in each group. The control group received conservative treatment after joint reduction, and the study group received surgical internal fixation. The therapeutic effect, fracture healing effect, visual analogue scale (VAS) score and ankle joint function Ogilvie-Harris ankle joint score before and after treatment were observed and compared between the two groups, while the occurrence of adverse reactions was recorded. Result: The total effective rate of the study group was higher than that of the control group, the difference was statistically significant (P<0.05). The excellent and good rate of fracture healing in the study group was significantly higher than that in the control group, the difference was statistically significant (P<0.05). After treatment, the VAS score and Ogilvie-Harris ankle joint score of the two groups were significantly improved compared to before treatment, the differences were statistically significant (P<0.05); the VAS score of the study group was significantly lower than that of the control group, the difference was statistically significant (P<0.05), while the Ogilvie-Harris ankle joint score was significantly higher than that of the control group, the difference was statistically significant (P<0.05). The incidence of adverse reactions in the study group was significantly lower than that in the control group (P<0.05). Conclusion: The application of surgical internal fixation for the treatment of ankle joint fracture combined with lower tibiofibular ligament injury has a definite effect. This treatment method can better improve the ankle joint injury of patients, promote fracture healing efficiency, alleviate pain, have fewer adverse reactions, and is safe and reliable.
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Received: 25 April 2023
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