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首页> 外文期刊>The Journal of foot and ankle surgery: official publication of the American College of Foot and Ankle Surgeons >A Comparison of Screw Fixation and Suture-Button Fixation in a Syndesmosis Injury in an Ankle Fracture
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A Comparison of Screw Fixation and Suture-Button Fixation in a Syndesmosis Injury in an Ankle Fracture

机译：踝部骨折合并症的螺钉固定与缝合钉固定的比较

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摘要

The present study compared the quality of reduction and the clinical assessment between screw fixation and suture-button fixation with an ankle fracture accompanied by syndesmosis injury. We studied the clinical and radiologic findings 1 year postoperatively through retrospective examination of 24 patients who had undergone screw fixation from January 2011 to December 2012 and prospective examination of 20 patients who had undergone suture button fixation from January 2013 to May 2014. Regarding the tibiofibular clear space, tibiofibular overlap, and medial clear space, the screw fixation group had improvement from a preoperative mean of 6.97 (range 2.79 to 15.81) mm, 4.43 (range 0 to 7.87) mm, 7.90 (range 4.24 to 19.50) mm to a postoperative mean of 4.95 (range 2.72 to 9.08) mm, 6.29 (range 0 to 10.37) mm, and 4.32 (range 1.98 to 6.57) mm, respectively. The corresponding improvement for the suture-button fixation group was from a preoperative mean of 6.65 (range 3.94 to 13.73) mm, 5.39 (range 0 to 9.44) mm, 7.27 (range 4.04 to 16.00) mm to a postoperative mean of 5.15 (range 2.93 to 7.30) mm, 7.21 (range 2.15 to 10.30) mm, and 4.25 (range 2.97 to 5.71) mm. No statistically significant difference was found between the 2 techniques. Both suture-button and metal screw fixation are effective treatment methods for an ankle fracture accompanied by syndesmosis injury. However, a long-term and prospective analysis is needed. (C) 2016 by the American College of Foot and Ankle Surgeons. All rights reserved.
机译：本研究比较了踝关节骨折并伴有下颌骨联合损伤的螺钉固定和缝合纽扣固定的复位质量和临床评估。我们通过回顾性分析2011年1月至2012年12月接受螺钉固定的24例患者以及2013年1月至2014年5月接受缝合线钉固定的20例患者的术后1年的临床和影像学检查结果。间隙，胫腓骨重叠和内侧间隙，螺钉固定组的术前平均值从6.97（2.79至15.81毫米），4.43（0至7.87毫米），7.90（4.24至19.50毫米）分别为4.95（2.72至9.08范围）mm，6.29（0至10.37范围）mm和4.32（1.98至6.57范围）mm。缝合按钮固定组的相应改善是从术前平均6.65（范围3.94至13.73）mm，5.39（范围0至9.44）mm，7.27（范围4.04至16.00）mm到术后均值5.15（范围） 2.93至7.30）毫米，7.21（2.15至10.30的范围）和4.25（2.97至5.71的范围）。两种技术之间没有发现统计学上的显着差异。缝合纽扣和金属螺钉固定都是治疗踝关节骨折并伴有下突的有效方法。但是，需要进行长期和前瞻性分析。 （C）2016年美国足踝外科医师学院。版权所有。

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