踝关节骨折并下胫腓联合分离手术治疗的临床效果  

Clinical Study of Ankle Joint Fracture Combined with Lower Tibiofibular Joint Separation Surgery

作　　者：于杨 YU Yang(Lingyuan Central Hospital,Lingyuan 122500,China)

机构地区：[1]凌源市中心医院,辽宁凌源122500

出　　处：《中国医药指南》2023年第2期23-27,共5页Guide of China Medicine

摘　　要：目的 探讨踝关节骨折并下胫腓联合分离手术治疗的临床效果。方法 选择2019年4~12月到我院进行治疗的48例踝关节骨折并下胫腓联合分离患者按随机方法分为观察组(n=24)和对照组(n=24),对照组患者选择传统短肌腱移位法治疗,观察组患者以钢板螺钉固定内外踝、螺钉固定下胫腓联合修复下胫腓联合韧带手术治疗,对两组患者的治疗效果进行比较和统计。结果 (1)观察组治疗后的骨折愈合优良率为95.83%(23/24),明显高于对照组[66.67%(16/24)](P<0.05)。(2)观察组(1例,占4.17%)患者术后并发症的发生率比对照组(11例,占45.83%)更低,差异有统计学意义(P<0.05)。(3)两组患者在出血量方面未表现出明显的差异,差异无统计学意义(P>0.05),但观察组患者固定时间、手术时间、住院时间、骨折愈合时间都比对照组短(P<0.05)。(4)治疗以后,观察组患者的疼痛明显比对照组更轻,足踝功能Maryland评分明显高于对照组,差异有统计学意义(P<0.05)。结论 将钢板螺钉固定内外踝、螺钉固定下胫腓联合修复下胫腓联合韧带手术应用在踝关节骨折并下胫腓联合分离患者中可提高治疗的效果,有效改善患者疼痛,改善患者的关节功能,减少并发症对患者的影响,对于促进患者病症的恢复发挥了重要作用。Objective To analyze the effect of ankle joint fracture and separation of the lower tibiofibular joint with surgical treatment.Methods Forty-eight patients with ankle fracture and lower tibiofibular syndesmosis separation who were treated in our hospital from April 2019 to December 2019 were randomly divided into the observation group and the control group, with an average of 24 patients in each group. The patients in the control group were treated with traditional short tendon displacement method. The patients in the observation group were treated with plate screws to fix the inner and outer ankles and screws to fix the lower tibiofibular syndesmosis to repair the lower tibiofibular syndesmosis ligament.The treatment effects of the patients in the two groups were compared and statistically analyzed. Results(1) The excellent and good rate of fracture healing in the observation group(23 cases, accounting for 95.83%) after treatment was significantly higher than that in the control group(16 cases,accounting for 66.67%)(P<0.05).(2) The incidence of postoperative complications in the observation group(1 case, accounting for 4.17%) was lower than that in the control group(11 cases, accounting for 45.83%)(P<0.05).(3) There was no significant difference in the amount of patients,and the difference was not statistically significant(P>0.05), but the fixation time, operation time, hospitalization time, and fracture healing time of the observation group were shorter than those of the control group(P<0.05).(4) After treatment, the pain in the observation group was significantly lighter than that in the control group, and the Maryland score of ankle function was significantly higher than that in the control group(P<0.05).Conclusion The application of plate and screw fixation of the inner and outer malleolus and screw fixation of the syndesmosis to repair the syndesmotic ligament in patients with ankle fractures and the separation of the syndesmosis can improve the treatment effect, reduce the impact of complications on the pa

关 键 词：踝关节骨折 下胫腓联合分离 钢板螺钉固定内外踝 螺钉固定下胫腓联合修复 

分 类 号：R683.42[医药卫生—骨科学]