[1]郜 鹏.支撑钢板与螺钉固定治疗旋后-内收型Ⅱ度踝关节骨折的比较研究[J].医学信息,2022,35(12):181-183.[doi:10.3969/j.issn.1006-1959.2022.12.046]
　GAO Peng.Comparative Study of Buttress Plate and Screw Fixation in the Treatment of Supination-adduction Type Ⅱ Ankle Fractures[J].Medical Information,2022,35(12):181-183.[doi:10.3969/j.issn.1006-1959.2022.12.046]
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支撑钢板与螺钉固定治疗旋后-内收型Ⅱ度踝关节骨折的比较研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年12期
页码:
181-183
栏目:
临床研究
出版日期:
2022-06-15

文章信息/Info

Title:
Comparative Study of Buttress Plate and Screw Fixation in the Treatment of Supination-adduction Type Ⅱ Ankle Fractures
文章编号:
1006-1959（2022）12-0181-03
作者:
郜 鹏
（天津市蓟州区人民医院骨一科，天津 301900）
Author(s):
GAO Peng
(The First Department of Orthopaedics,Tianjin Jizhou District People’s Hospital,Tianjin 301900,China)
关键词:
支撑钢板; 螺钉固定; 旋后-内收型; 踝关节骨折
Keywords:
Buttress plate; Screw fixation; Supination-adduction; Ankle fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2022.12.046
文献标志码:
A
摘要:
目的 比较支撑钢板与螺钉固定治疗旋后-内收型Ⅱ度踝关节骨折的临床疗效。方法 选取我院2020年3月-2021年4月诊治的76例旋后-内收型Ⅱ度踝关节骨折患者为研究对象，采用随机数字表法分为对照组和观察组，各38例。对照组采用螺钉固定治疗，观察组采用支撑钢板固定治疗，比较两组临床治疗效果、术后恢复指标、疼痛评分、踝与后足功能评分以及并发症发生情况。结果 观察组骨折愈合优良率为94.73%，高于对照组的68.42%，差异有统计学意义（P＜0.05）；观察组术后完全负重时间、骨折愈合时间、疼痛评分均小于对照组，差异有统计学意义（P＜0.05）；两组踝与后足功能评分均高于治疗前，且观察组高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为2.63%，低于对照组的13.15%，差异有统计学意义（P＜0.05）。结论 支撑钢板与螺钉固定治疗旋后-内收型Ⅱ度踝关节骨折均具有一定的疗效，但是与螺钉固定比较，使用支撑钢板可获得更优的稳定性，利于早期下床活动，提高骨折愈合优良率，减轻疼痛，缩短骨折愈合时间，减少并发症发生，提高踝与后足功能评分，是一种可行且有效的治疗方法。
Abstract:
Objective To compare the clinical efficacy of buttress plate and screw fixation in the treatment of supination-induction type Ⅱ ankle fracture.Methods A total of 76 patients with supination-induction type Ⅱ ankle fracture treated in our hospital from March 2020 to April 2021 were selected as the research subjects. They were divided into control group and observation group by random number table method, with 38 cases in each group. The control group was treated with screw fixation, and the observation group was treated with buttress plate fixation. The clinical therapeutic effect, postoperative recovery index, pain score, ankle and hindfoot function score and complications were compared between the two groups.Results The excellent and good rate of fracture healing in the observation group was 94.73%, which was higher than 68.42% in the control group, and the difference was statistically significant (P<0.05). The postoperative complete weight-bearing time, fracture healing time and pain score in the observation group were lower than those in the control group, and the differences were statistically significant (P<0.05). The ankle and foot function scores of the two groups were higher than those before treatment, and the observation group was higher than the control group, the difference was statistically significant (P<0.05). The incidence of complications in the observation group was 2.63%, which was lower than 13.15% in the control group, and the difference was statistically significant (P<0.05).Conclusion The buttress plate and screw fixation have certain curative effect in the treatment of patients with supination-induction type Ⅱ ankle fracture. However, compared with screw fixation, the use of buttress plate can obtain better stability, which is conducive to early ambulation, improve the excellent and good rate of fracture healing, reduce pain, shorten the healing time of fracture, reduce complications, and improve the ankle and hindfoot function score. It is a feasible and effective treatment method.

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更新日期/Last Update: 1900-01-01