Clinical effectiveness of suture anchor repair combined with open reduction and internal fixation in the treatment of deltoid ligament rupture in ankle fracture

Le Zhang; Xiaochuan Kong; Gang Hong; Yinfeng Zheng; Lei Zang

doi:10.12669/pjms.39.6.8070

Clinical effectiveness of suture anchor repair combined with open reduction and internal fixation in the treatment of deltoid ligament rupture in ankle fracture

Pak J Med Sci. 2023 Nov-Dec;39(6):1606-1610. doi: 10.12669/pjms.39.6.8070.

Authors

Le Zhang¹, Xiaochuan Kong², Gang Hong³, Yinfeng Zheng⁴, Lei Zang⁵

Affiliations

¹ Le Zhang, Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, P.R. China.
² Xiaochuan Kong, Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, P.R. China.
³ Gang Hong, Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, P.R. China.
⁴ Yinfeng Zheng, Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, P.R. China.
⁵ Lei Zang, Department of Orthopedics, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, P.R. China.

Abstract

Objective: To explore the clinical effectiveness of suture anchor (SA) repair combined with open reduction and internal fixation (ORIF) in the treatment of deltoid ligament rupture (DLR) in ankle fractures.

Methods: This is a retrospective analysis of 210 patients with DLR in ankle fracture who were treated in Beijing Chaoyang Hospital from January 2020 to June 2022. According to the surgical records, 125 patients received SA repair combined with ORIF (Repair group) and 85 patients received ORIF only (Non-repair group). The curative effect, recovery of ankle joint function, pain, and bone metabolism of the two groups were observed.

Results: The clinical effectiveness (overall good) was higher in the Repair group (P<0.05). The American Orthopedic Foot and Ankle Society (AOFAS) score was higher three and six months post-operation in the Repair group, and the Visual Analogue Scale (VAS) score was lower than that of the Non-repair group (P<0.05). The Repair group had higher levels of bone-specific alkaline phosphatase (BALP) and bone gla protein (BGP) than the Non-repair group six months post-operation (P<0.05).

Conclusions: SA combined with ORIF has a good effect in the treatment of DLR in ankle fracture patients, which can promote the recovery of ankle function, relieve postoperative pain and improve bone metabolism.

Keywords: Ankle fracture; Deltoid ligament rupture; Open reduction and internal fixation; Suture anchor repair.