[1]于 洋.改良踝关节后外侧入路联合内侧复位固定治疗三踝骨折的临床效果[J].医学信息,2022,35(22):112-114.[doi:10.3969/j.issn.1006-1959.2022.22.024]
　YU Yang.Clinical Effect of Modified Posterolateral Approach of Ankle Joint Combined with Medial Reduction and Fixation in the Treatment of Trimalleolar Fracture[J].Journal of Medical Information,2022,35(22):112-114.[doi:10.3969/j.issn.1006-1959.2022.22.024]
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改良踝关节后外侧入路联合内侧复位固定治疗三踝骨折的临床效果()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年22期
页码:
112-114
栏目:
临床研究
出版日期:
2022-11-15

文章信息/Info

Title:
Clinical Effect of Modified Posterolateral Approach of Ankle Joint Combined with Medial Reduction and Fixation in the Treatment of Trimalleolar Fracture
文章编号:
1006-1959（2022）22-0112-03
作者:
于 洋
（天津市蓟州区人民医院骨科，天津 301900）
Author(s):
YU Yang
(Department of Orthopedics,Tianjin Jizhou District People’s Hospital,Tianjin 301900,China)
关键词:
踝关节; 后外侧入路; 内侧复位固定; 三踝骨折
Keywords:
Ankle joint; Posterolateral approach; Medial reduction and fixation; Trimalleolar fracture
分类号:
R687.3
DOI:
10.3969/j.issn.1006-1959.2022.22.024
文献标志码:
A
摘要:
目的 观察改良踝关节后外侧入路联合内侧复位固定治疗三踝骨折的临床效果。方法 选取2020年9月-2021年9月在我院诊治的78例三踝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39例。对照组采用常规踝关节后外侧入路联合内侧复位固定治疗，观察组采用改良踝关节后外侧入路联合内侧复位固定治疗，比较两组手术指标、骨折恢复优良率、骨折愈合时间、疼痛评分、踝关节功能评分及并发症发生率。结果 观察组手术时间、术中出血量、下床活动时间均小于对照组（P＜0.05）；观察组骨折恢复优良率为94.87%，高于对照组的82.05%（P＜0.05）；观察组骨折愈合时间、疼痛评分均小于对照组（P＜0.05）；两组踝功能评分均高于对照组，且观察组高于对照组（P＜0.05）；观察组并发症发生率为7.69%，低于对照组的17.95%（P＜0.05）。结论 改良踝关节后外侧入路联合内侧复位固定治疗三踝骨折可有效提高骨折恢复优良率，且手术时间短、术中出血量少、疼痛轻，可早期下床活动，提高踝关节功能评分，降低并发症发生率，具有良好的临床治疗效果。
Abstract:
Objective To observe the clinical effect of modified posterolateral approach of ankle joint combined with medial reduction and fixation in the treatment of trimalleolar fracture.Methods A total of 78 patients with trimalleolar fractures diagnosed and treated in our hospital from September 2020 to September 2021 were selected as the research objects. They were divided into control group and observation group by random number table method, with 39 cases in each group. The control group was treated with conventional ankle posterolateral approach combined with medial reduction and fixation, and the observation group was treated with modified ankle posterolateral approach combined with medial reduction and fixation. The surgical indexes, excellent and good rate of fracture recovery, fracture healing time, pain score, ankle function score and complication rate were compared between the two groups.Results The operation time, intraoperative blood loss and ambulation time in the observation group were less than those in the control group (P<0.05). The excellent and good rate of fracture recovery in the observation group was 94.87%, which was higher than 82.05% in the control group (P<0.05). The fracture healing time and pain score of the observation group were less than those of the control group (P<0.05). The ankle function scores of the two groups were higher than those of the control group, and the observation group was higher than the control group (P<0.05). The incidence of complications in the observation group was 7.69%, lower than 17.95% in the control group (P<0.05).Conclusion Modified ankle posterolateral approach combined with medial reduction and fixation in the treatment of trimalleolar fracture can effectively improve the excellent and good rate of fracture recovery, and the operation time is short, the intraoperative blood loss is small, the pain is light, the early ambulation can be carried out, the ankle function score can be improved, the incidence of complications can be reduced, and the clinical treatment effect is good.

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更新日期/Last Update: 1900-01-01