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| Therapeutic Effects of Cortical Bone Screw Fixation and Suture Bone Anchor Repair in the Treatment of Supination and External Rotation Ankle Fractures With Distal Tibiofibular Syndesmosis Injury |
| Deng Jianhai, Guo Xinli |
| Henan Rongjun Hospital,Xinxiang 453000,China |
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Abstract Objective To observe the clinical effects of cortical bone screw fixation and suture bone anchor repair in the treatment of supination and external rotation ankle fractures with distal tibiofibular syndesmosis injury.Methods 116 patients with supination and external rotation type III and IV ankle fractures and distal tibiofibular syndesmosis injury were selected as study subjects.According to the treatment method,they were divided into screw fixation group and bone anchor repair group with 58 cases in each group.The screw fixation group received cortical bone screw fixation,while the bone anchor repair group received suture bone anchor repair.The related intraoperative and postoperative indexes,the American orthopedic foot ankle society（AOFAS）scores,the gap distance and overlap distance of distal tibiofibular syndesmosis,and the occurrence of complications in the two groups were observed.Results There were no significant differences between the two groups in terms of operation time,intraoperative blood loss,hospital stay,and fracture healing time（P>0.05）.At 1 month and 3 months after operation,the bone anchor repair group had significantly higher AOFAS scores than the screw fixation group,and the differences were statistically significant（P<0.05）.At 6 months after operation,there was no significant difference in AOFAS scores between the two groups（P>0.05）.At 3 and 6 months after operation,there were no significant differences between the two groups in the gap distance and overlap distance of distal tibiofibular syndesmosis（P>0.05）.The total incidence of complications in the bone anchor repair group was significantly lower than that in the screw fixation group,and the difference was statistically significant（P<0.05）.Conclusion Cortical bone screw fixation and suture bone anchor repair have similar curative effects in half a year after operation.However,suture bone anchor repair can promote the recovery of ankle function in a short term,with few complications.
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Received: 01 July 2021
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2022, Vol. 42 
