Efficacy of titanium locking plate combined with suture anchor repair on ankle joint functional recovery and quality of life in patients with ankle fractures.
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Abstract
Objective: To evaluate the efficacy of titanium locking plate combined with suture anchor (SA) repair in the treatment of ankle fractures (AF).
Methods: Retrospective analysis of clinical data of 170 patients with AF who underwent surgical treatment at the Department of Traumatology and Orthopedics of Wuhan Fourth Hospital, China from May 2020 to June 2023 was conducted. A total of 83 patients underwent conventional open reduction and internal fixation (control group); 87 patients received titanium locking plates combined with SA repair (observation group). Ankle joint functional recovery (measured using the Mazur Ankle Grading Scale), quality of life (measured using the Generic Quality of Life Inventory-74), and incidence of complications were compared between two groups. Active range of motion and muscle strength of the ankle joint in plantar flexion and dorsiflexion states, and medial clear space and talar tilt angle were also analyzed.
Results: The rate of excellent recovery of ankle joint function in the observation group was significantly higher than that in the control group (P<0.05). Six months after surgery, active range of motion and muscle strength of the ankle joints in the plantar flexion and dorsiflexion states in the observation group was significantly higher than that in the control group (P<0.05). The medial clear space and talar tilt angle of the observation group was significantly smaller compared to the control group (P<0.05). The quality of life in the observation group was significantly higher than that in the control group, and the incidence of complications in the observation group was significantly lower than that in the control group (P<0.05).
Conclusions: Titanium locking plates combined with SA repair for the treatment of AF can significantly improve ankle joint functional recovery, improve the quality of life of patients, and is associated with a lower incidence of complications.
目的评估钛锁定钢板联合缝合锚（SA）修复术治疗踝关节骨折（AF）的疗效：对2020年5月至2023年6月期间在武汉市第四医院创伤骨科接受手术治疗的170例踝关节骨折患者的临床资料进行回顾性分析。83名患者接受了传统的开放复位内固定术（对照组）；87名患者接受了钛锁定钢板联合SA修复术（观察组）。两组患者的踝关节功能恢复情况（采用马祖尔踝关节分级量表测量）、生活质量（采用通用生活质量量表-74测量）和并发症发生率进行了比较。此外，还分析了踝关节在跖屈和背屈状态下的活动范围和肌力，以及内侧间隙和距骨倾斜角度：结果：观察组的踝关节功能极好恢复率明显高于对照组（PPPPC结论：钛锁定钢板联合 SA 修复术的踝关节功能极好恢复率明显高于对照组：钛锁定钢板联合SA修复术治疗房颤可明显改善踝关节功能恢复，提高患者生活质量，且并发症发生率较低。
期刊介绍：
It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad.
Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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