后外侧入路切开复位内固定治疗踝关节骨折的疗效及并发症发生率研究  

Study on the Effect and Complication Rate of Posterolateral Approach for Open Reduction and Internal Fixation in the Treatment of Ankle Fractures

作　　者：梁增章 陈瑜[1] 连勇 梁健[1] 陈国政[1] 刘立华[1] LIANG Zeng-zhang;CHEN Yu;LIAN Yong;LIANG Jian;CHEN Guo-zheng;LIU Li-hua(Lianjiang People's Hospital,Guangdong Lianjiang 524400)

机构地区：[1]廉江市人民医院,广东廉江524400

出　　处：《深圳中西医结合杂志》2022年第2期111-113,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨踝关节骨折临床治疗中开展后外侧入路切开复位内固定术的应用价值及对并发症发生率的影响。方法:选取2016年10月至2021年4月廉江市人民医院收治的踝关节骨折患者60例,根据治疗方案差异性分两组,开展后外侧入路切开复位内固定30例(记作观察组),实施复位石膏外固定30例(记作对照组),对治疗优良率、踝关节功能恢复情况、并发症率分析比较。结果:观察组患者治疗优良率更高,且负重行走时间、骨折愈合时间均较对照组短,住院时间较对照组更长,差异均具有统计学意义(P<0.05)。治疗前两组患者美国矫形足踝协会(AOFAS)评分比较,差异无统计学意义(P>0.05);治疗后,两组患者AOFAS评分均提高,且观察组恢复情况较对照组更优,差异具有统计学意义(P<0.05)。两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论:后外侧入路切开复位内固定治疗踝关节骨折可取得显著疗效,固定效果佳,术后恢复快,促进患者踝关节功能尽早恢复,且有效控制及预防并发症的发生,疗效及安全性兼顾。Objective To explore the application value of posterolateral approach for open reduction and internal fixation in the clinical treatment of ankle fractures and its influence on the complication rate.Methods A total of 60 patients with ankle fracture admitted to Lianjiang People’s Hospital from October 2016 to April 2021 were selected divided into two groups,and according to the difference of treatment plan,30 patients received posterolateral approach for open reduction and internal fixation (as the observation group),and 30 patients received reduction and plaster external fixation (as the control group).The excellent and good rate of treatment,recovery of ankle joint function and complication rate were analyzed and compared.Results The excellent and good treatment rate was higher in the observation group,and the weight-bearing walking time and fracture healing time in the observation group were shorter than those in the control group,and the hospitalization time in the observation group was longer than those in the control group,with statistical significance (P < 0.05).Before treatment,there was no significant difference in American Orthopaedic Foot and Ankle Society (AOFAS) score between the two groups (P > 0.05).After treatment,AOFAS scores of the two groups were improved,and the recovery of the observation group was better than that in the control group,the difference was statistically significant (P < 0.05).There was no significant difference in the incidence of complications between the two groups(P > 0.05).Conclusion Posterolateral approach open reduction and internal fixation in the treatment of ankle fractures can achieve significant curative effect,good fixation effect,fast postoperative recovery,promote the recovery of ankle function as soon as possible,and effectively control and prevent the occurrence of complications,with both efficacy and safety.

关 键 词：踝关节骨折 后外侧入路切开复位内固定 石膏外固定 

分 类 号：R683.42[医药卫生—骨科学]