【摘要】 目的：观察复位固定术后采取三角韧带修复治疗踝关节骨折患者的效果。方法：回顾性研究北京市红十字会急诊抢救中心2018年1月—2024年3月收治的100例踝关节骨折患者，患者均行踝关节骨折复位固定术，之后根据患者术中是否实施三角韧带修复分为修复组(n=56，实施三角韧带修复)和未修复组(n=44，未实施三角韧带修复)，术后每月来院复诊，比较两组患者治疗前及治疗后3、6个月踝关节功能和骨代谢参数、术后并发症。结果：(1)治疗后3个月、6个月，两组美国足踝外科协会(AOFAS)均提高，踝关节内侧间隙(MCS)均缩短，跖骨倾斜角均减小，且修复组AOFAS评分高于未修复组，MCS短于未修复组，跖骨倾斜角小于未修复组，差异有统计学意义(P<0.05)。(2)治疗后3个月、6个月，两组β胶原降解产物(β-CTX)均降低，骨钙素(BGP)均升高，且修复组β-CTX水平低于未修复组，BGP水平高于未修复组，差异有统计学意义(P<0.05)。(3)两组患者并发症发生率比较，差异无统计学意义(P>0.05)。结论：对于经复位固定术治疗的踝关节骨折患者而言，联合实施三角韧带修复术，可促进踝关节功能恢复，改善机体骨代谢，且安全性较高。更多还原

【Abstract】 Objective:To observe the effect of triangular ligament repair after ankle fracture reduction and fixation on patients with ankle fractures.Method:A retrospective study was conducted on 100 patients with ankle fractures in Beijing Red Cross Emergency Medical Center from January 2018 to March 2024.All patients received ankle fracture reduction and fixation,and then they were divided into two groups according to whether the triangular ligament repair was performed during surgery,including repair group (n=56,triangular ligament repair) and non-repair group (n=44,without triangular ligament repair).The patients came to the hospital for follow-up visits every month after surgery.The ankle function and bone metabolism parameters before treatment and at 3 months and 6 months after treatment and complications after treatment were compared between the two groups.Result:(1) At 3 months and 6 months after treatment,the American Association for Foot and Ankle Surgery (AOFAS) were increased in both groups,the medial clear space (MCS) were shortened in both groups,and the inclination angle of metatarsal bone were decreased in both groups,the AOFAS score of the repaired group was higher than that of the non-repaired group,the MCS was shorter than that of the non-repaired group,and the inclination angle of the metatarsal bone was smaller than that of the non-repaired group,the differences were statistically significant (P<0.05).(2) At 3 months and 6 months after treatment,β collagen degradation products (β-CTX) were decreased and osteocalcin (BGP) were increased in both groups,and β-CTX level in the repaired group was lower than that in the non-repaired group,and BGP level was higher than that in the non-repaired group,the differences were statistically significant (P<0.05).(3) There were no statistical differences in complications between groups (P>0.05).Conclusion:For patients with ankle fractures treated with reduction and fixation,combined implementation with triangular ligament repair can promote the recovery of ankle function and improve the body’ s bone metabolism,and with high safety.更多还原