生物可吸收材料在内踝骨折治疗中的应用  

Application of bioabsorbable materials in the treatment of internal malleolus fracture

作　　者：吴崇昊 WU Chong-hao(Yancheng First People's Hospital,Yancheng 224001,Jiangsu)

机构地区：[1]盐城市第一人民医院,江苏盐城224001

出　　处：《安徽卫生职业技术学院学报》2020年第2期51-52,54,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨生物可吸收材料在内踝骨折手术治疗中的应用价值.方法:选取医院骨科收治的内踝骨折患者48例,患者均接受切开复位内固定手术治疗,观察组患者选用生物可吸收材料,对照组患者使用金属材料固定,在术后对两组患者随访半年,比较两组患者手术指标、内踝功能恢复情况和手术并发症.结果:观察组患者的骨折愈合时间、全足负重下地行走时间、治疗后美国内踝医师学会(AOFAS)评分改善水平和异物反应率均显著优于对照组(P<0.05).结论:在内踝骨折的内固定手术中,生物可吸收材料具有生物相容性好、可吸收分解、对骨折部位愈合和塑形影响小等优点,患者术后恢复快、痛苦小、内踝功能改善显著,值得临床推广应用.Objective:To explore the application value of bioabsorbable materials in the surgical treatment of internal malleolus fractures.Methods:Forty-eight patients with internal malleolus fractures who were admitted to hospital were enrolled.All patients underwent open reduction and internal fixation.The patients in the observation group were treated with bioabsorbable materials.The patients were fixed with metal materials.The patients in the two groups were followed up for half a year.The surgical indexes,recovery of internal hemorrhoid function and surgical complications were compared between the two groups.Results:After comparison,the fracture healing time,the walking time of the full-weight weight-bearing walking,the improvement of the AOFAS score and the foreign body reaction rate in the observation group were significantly better than those in the control group(P<0.05).Conclusion:In the internal fixation of internal malleolus fracture,the bioabsorbable material has the advantages of good biocompatibility,absorbable decomposition,small impact on the healing and shaping of the fracture site.The patient has quick recovery,less pain and improved internal hemorrhoid function,which is worthy of clinical promotion and application.

关 键 词：生物可吸收材料 内踝骨折 应用价值 

分 类 号：R687.3[医药卫生—骨科学]