Using Suture Anchor To Treat The â…¡ And â…¢-degree Deltoid Ligament Ingury Of The Ankle

Objective: To explore and discuss the mains how to use suture anchor to repair the II and III-degree deltoid ligament ingury of the ankle. And observe the curative effect about it.Methods: To select 40 patients that have been confirmed II or III degree deltoid ligament ingury of the ankle from June, 2012 to July,2013. The all patients are treated as ankle fracture. And it is divided into the group that reconstruct the deltoid ligament with anchor, which is called the treatment one, and the group that do not reconstruct the deltoid ligament, called contrast one. Then we analysis the observation. The 20 cases of treatment group include 11 male petients and 9 females. Among them, there are 9 cases of II degree ingury, 11 cases of III degree ingury, and 6 cases that the medial malleolus attachment point avulsion, the other 14 ones that the medial surface of the talus avulsion. The 20 cases of contrast group include 12 male patients and 8 females. Among them, there are 8 cases of II degree ingury, 12 cases of III degree ingury, and 5 cases that the medial malleolus attachment point avulsion, the other 15 ones that the medial surface of the talus avulsion. All the ankle fractures have obtained anatomical reduction and rigid internal fixation. After the operation,we do the observation following the patients for 1 year to score the postoperation functions with the Baird-Jackson ankle scoring system, to record and contrast and analize the medial malleolus outer surface and the inner side clearance of talus(medial malleolus clearance) and postoperative talar tilt angle about the treatment group and the contrast group.Results : All the 40 patients have been followed interview and the observation index is recorded,The scoring statistics which using the Baird-Jackson ankle scoring system is as follows: The average scores of treatment group is(92.01±2.70), and the contrast group is(85.54±3.90). The comparison between them is(P<0.05), which have the statistical significance. In treatment group, the excellent and good rate was 95%,and 85% in the control group, statistical analysis of P<0.05, the treatment group was significantly better than the control group. Then the clearance of medial malleolus is(2.42 + 1.36) mm, the talar tilt is(6.08- 1.58) about the contrast group, and the learance of medial malleolus is(2.07±0.21)mm, the talar tilt is(4.28±1.94)about the treatment group. The differences of the clearance of medial malleolus and the talar tilt between the treatment group and the contrast group are also have the statistical significance(P<0.05).During the follow-up,there is no anchors appeared off, no tail line breaked,and all the ankle is instability.Conclusion: It’s very simple and reliable that repair the II and III-degree deltoid ligament ingury of the ankle by using suture anchor. And the triangular ligament in situ remediation. It’s important to keep the ankle postoperative MAS, TT and functional recovery of ankle joint after operation.So,it’s a good choice to traet the deltoid ligament ingury of the ankle recently.