三踝骨折合并下胫腓联合损伤患者的手术治疗分析  

Surgical Treatment Analysis of Patients with Trimalleolar Fracture Combined with Distal Tibiofibular Syndesmosis Injury

作　　者：顾晓娟[1] 

机构地区：[1]江苏省苏州市昆山市中医医院骨科,江苏苏州215300

出　　处：《中外医疗》2015年第34期99-100,共2页China & Foreign Medical Treatment

摘　　要：目的在评价三踝骨折合并下胫腓联合损伤患者的手术治疗价值的基础上,寻找改善三踝骨折合并下胫腓联合损伤患者临床指征的手术方案。方法随机选择2011年1月—2015年1月该院收取的60例三踝骨折合并下胫腓联合损伤患者,予以分组后,实验组和对照组各30例。其中,实验组接受切开复位内固定手术,而对照组接受常规手术,观察所有入选患者治疗情况,并予以对比。结果实验组入选患者有效率100.00%,对照组73.33%,2组比较差异有统计学意义(P<0.05)。结论基于三踝骨折合并下胫腓联合损伤患者,选择切开复位内固定手术可以提升患者治疗质量,可推广。Objective To find a surgical procedure for improving the clinical indications of patients with trimalleolar frac-ture combined with distal tibiofibular syndesmosis injury on the basis of evaluating the value of surgical treatment for pa-tients with trimalleolar fracture combined with distal tibiofibular syndesmosis injury. Methods 60 cases of patients with tri-malleolar fracture combined with distal tibiofibular syndesmosis injury admitted from January 2011 to January 2015 were randomly selected and divided into experimental group and control group with 30 cases in each, the experimental group were given Open reduction and internal fixation surgery and the control group were given routine operation, the treatment condition of all included patients was observed and compared. Results The efficiency of the experimental group was 100.00%and 73.33%of the control group,there was a difference between the two groups by comparison （P〈0.05）. Conclusion It can improve the treatment quality of patients with trimalleolar fracture combined with distal tibiofibular syndesmosis injury to choose open reduction and internal fixation surgery and it is worth promoting.

关 键 词：三踝骨折 下胫腓联合损伤 手术治疗 

分 类 号：R483.42[医药卫生—临床医学]