摘要
目的探讨三种不同固定方式用于治疗胫骨骨折AO43a型的临床效果对比。方法选取2017年8月—2019年10月到我院就诊的105例AO43a型胫骨折患者作为研究对象。将患者分为甲、乙、丙三组。对比三组患者足踝功能以及踝关节恢复效果。结果治疗前,三组功能评分差异无统计学意义(P> 0.05)。治疗后,甲组评分低于乙组和丙组(P <0.05)。乙组和丙组功能评分差异无统计学意义(P> 0.05)。乙组和丙组踝关节恢复优良率高于甲组(P <0.05)。乙组和丙组踝关节恢复优良率比较差异无统计学意义(P> 0.05)。结论与外固定术相比,MIPPO、ETN等内固定术治疗胫骨骨折AO43a型的临床优势更明显,可有下改善患者的足踝功能,提高关节康复效果。
Objective To explore the clinical effects of three different fixation methods for the treatment of tibial fracture AO43a.Methods A total of 105 cases tibia fracture patients with AO43a who visited our hospital from August 2017 to October 2019 were selected as the research subjects.The patients were divided into three groups:A,B and C.The ankle function and ankle joint recovery effect of the three groups of patients were compared.Results Before treatment,the functional scores of the three groups were not significantly different(P>0.05).After treatment,the scores of group A were significantly lower than those of group B and group C(P<0.05).There was no significant difference in functional scores between group B and group C(P>0.05).The excellent recovery rate of ankle joints in group B and group C was significantly higher than that in group A(P<0.05).There was no significant difference in ankle joint recovery rates between group B and group C(P>0.05).Conclusion Compared with external fixation,internal fixation such as MIPPO and ETN for tibial fracture AO43a has more obvious clinical advantages.It can improve the ankle function of the patient,improve the joint rehabilitation effect,and can be popularized.
作者
王松
WANG Song(The Third Ward of Trauma Orthopaedics Department,Beijing Red Cross Emergency Rescue Center,Beijing 100192,China)
出处
《中国卫生标准管理》
2020年第15期50-51,共2页
China Health Standard Management
关键词
胫骨骨折
外固定术
专家级髓内钉
经皮微创接骨板内固定术
足踝功能
踝关节恢复优良率
tibial fracture
external fixation
expert intramedullary nail
percutaneous minimally invasive bone plate fixation
foot and ankle function
excellent rate of ankle recovery
