摘要
目的探究两种内固定手术对踝关节骨折的临床疗效。方法收集本院骨科自2018年1月—2020年1月经手术固定方式治疗踝关节骨折的病例,共94例。根据踝关节骨折手术固定方式的不同,将病例分成两组:B组和Q组,每组47例。B组实施闭合复位经皮空心钉内固定,Q组实施切开复位内固定,通过对比两组围手术期数据以及术后并发症、美国足踝外科协会(AOFAS)踝-后足评分及治愈率来评定手术效果。结果B组手术时间和术中出血量明显低于Q组,B组治愈率87.23%明显高于Q组70.21%,且AOFAS评分也高于Q组,比较差异均有统计学意义(P<0.05);Q组并发症发生率为17.02%高于B组2.13%,比较差异有统计学意义(P<0.05)。结论闭合复位经皮空心钉内固定治疗踝关节骨折可有效预防相关并发症的发生,提升术后康复效果,临床疗效显著。
Objective To compare the effects of open reduction and internal fixation or closed reduction and cannulated screw fixation in ankle fracture.Methods 94 ankle fracture patients of being surgically treated from January 2018 to January 2020 in our hospital were reviewed and divided into B group and Q group according to different fixation modes,47 cases in each group.Patients were treated with open reduction and internal fixation or closed reduction and cannulated screw fixation,respectively.Perioperative indicators,postoperative complications,American Orthopaedic Foot&Ankle Society(AOFAS)scores and cure rate were appraised.Results Operation time and intraoperative bleeding volume in closed group were sharply declined by comparison with open group;cure rate in closed group(87.23%)was higher than open group(70.21%);AOFAS scores in closed group were higher than open group;the differences were statistically significant(P<0.05);postoperative complication rate in open group(17.02%)was higher than closed group(2.13%),with statistically significant difference(P<0.05).Conclusion The closed reduction and cannulated screw fixation can effectively reduce the complications,and increase the postoperative rehabilitation effects.
作者
侯兆阳
魏祥兵
HOU Zhaoyang;WEI Xiangbing(Orthopedics Department II,Chibi General Hospital,Chibi Hubei 437300,China;Pharmacy Department,Chibi General Hospital,Chibi Hubei 437300,China)
出处
《中国继续医学教育》
2021年第24期124-127,共4页
China Continuing Medical Education
关键词
踝关节骨折
切开复位内固定
闭合复位经皮空心钉内固定
踝-后足评分
踝关节功能
疗效
ankle fracture
open reduction and internal fixation
closed reduction and cannulated screw fixation
american orthopaedic foot&ankle society
ankle function
curative effect
