踝关节骨折切开复位内固定后下胫腓联合分离固定和未固定的疗效对比  

Comparison of the Curative Effect of Ankle Fractures After Open Reduction and Internal Fixation of Seperation of Distal Tibiofibular Syndesmosis Under Fixed and Not Fixed

作　　者：邹明翔 周其佳 孙月柏[1] 

机构地区：[1]江苏省盐城市阜宁县人民医院骨科,江苏盐城224400

出　　处：《中国卫生标准管理》2016年第20期70-71,共2页China Health Standard Management

摘　　要：目的对切开复位内固定后下胫腓联合分离固定方案、未固定方案应用于踝关节骨折患者中的价值进行分析。方法从2012年1月-2015年12月因患踝关节骨折进入本院骨科的患者中,筛选56例进行对照研究,均行切开复位内固定后下胫腓联合分离方案,对照组28例行未固定措施,研究组28例行固定措施,观察两组疗效。结果对照组优良率为89.29%,研究组优良率为96.43%（P〉0.05）。结论对于踝关节骨折患者,于切开复位内固定后,施以下胫腓联合分离方案时,选择未固定方案或者固定方案均可取得显著效果。Objective To analyze the value of open reduction and internal fixation combined with distal tibial and fibula fixation in patients with fracture of ankle joint. Methods From January 2012 to December 2015,56 cases suffering from ankle fracture in our hospital in department of orthopedics patients were studied,they underwent open reduction and internal fixation after the tibiofibular joint separation scheme,the control group of 28 cases without fixed measures,the research group of 28 cases of fixed measures. To observe the curative effect of two groups. Results The excellent and good rate was 89.29% in the control group,and the excellent and good rate was 96.43% in the study group（P〈0.05）. Conclusion For the patients with ankle fracture,after open reduction and internal fixation,the choice of the non fixed or fixed solution can achieve significant results.

关 键 词：未固定 下胫腓联合分离 固定 切开复位内固定 踝关节骨折 

分 类 号：R687.3[医药卫生—骨科学]