合并下胫腓韧带损伤的踝关节骨折手术固定联合修复治疗的效果评价  

Evaluation of the Effect of Surgical Fixation and Repair on Ankle Fracture Complicated with Lower Tibiofibular Ligament Injury

作　　者：孙勇业 SUN Yongye(Department of SurgeryⅡ,Zibo Zichuan District Hospital,Zibo,Shandong Province,255100 China)

机构地区：[1]山东省淄博市淄川区医院外二科,山东淄博255100

出　　处：《系统医学》2023年第15期151-155,共5页Systems Medicine

摘　　要：目的对合并下胫腓韧带损伤的踝关节骨折手术固定联合修复治疗的效果评价。方法选取2020年1月—2022年12月山东省淄博市淄川区医院收治的112例合并下胫腓韧带损伤的踝关节骨折患者为研究对象。采用计算机法将患者以0.001~0.112进行编号,将编号为0.001~0.056的56例患者设置为对照组,接受手术固定治疗,将编号为0.057~0.112的56例患者设置为观察组,接受手术固定联合修复治疗。对比两组骨折愈合情况、踝关节功能、日常生活能力以及并发症的发生情况。结果观察组骨折愈合时间为(8.44±2.15)周,短于对照组,差异有统计学意义(t=15.770,P<0.05)。观察组愈合优良率为92.86%,高于对照组,差异有统计学意义(χ^(2)=4.667,P<0.05)。治疗前,两组踝关节功能评分对比,差异无统计学意义(P>0.05),治疗后3、6个月观察组患者的踝关节功能评分分别为(68.31±6.13)分、(85.92±3.35)分,呈递增趋势,且高于对照组,差异有统计学意义(t=2.556、6.618,P<0.05)。治疗前,两组日常生活能力对比,差异无统计学意义(P>0.05)。治疗后3、6个月观察组患者日常生活能力评分分别为(70.11±4.31)分、(90.62±3.79)分,高于对照组,差异有统计学意义(t=4.632、5.007,P<0.05)。观察组并发症总发生率为3.57%,低于对照组的14.29%,差异有统计学意义(χ^(2)=3.953,P<0.05)。结论对于合并下胫腓韧带损伤的踝关节骨折的患者采用手术固定联合修复的治疗方式能促进骨折的愈合和踝关节功能的恢复,提升患者日常生活能力,降低并发症发生率。Objective To evaluate the effect of surgical fixation combined with repair of ankle fracture complicated with lower tibiofibular ligament injury.Methods 112 ankle fracture patients with lower tibiofibular ligament injury admitted to Zichuan District Hospital from January 2020 to December 2022 were selected as research subjects.Patients were numbered from 0.001 to 0.112 by computer.Fifty-six patients numbered 0.001 to 0.056 were set as control group and received surgical fixation treatment.Fifty-six patients numbered 0.057 to 0.112 were set as the observation group and underwent surgical fixation combined with repair.Fracture healing,ankle joint function,daily living ability and complications were compared between the two groups.Results The fracture healing time of the observation group was(8.44±2.15)weeks,which was shorter than that of the control group,and the difference was statistically significant(t=15.770,P<0.05).The excellent healing rate was 92.86%,which was higher than that of the control group,and the difference was statistically significant(χ^(2)=4.667,P<0.05).Before treatment,the ankle joint function scores of the two groups were compared,and the difference was not statistically significant(P>0.05).After 3 months and 6 months after treatment,the ankle joint function scores of observation group were(68.31±6.13)points and(85.92±3.35)points,respectively,and showed an increasing trend,which were higher than those of control group,and the difference was sta tistically significant(t=2.556,6.618,P<0.05).Before treatment,the daily living ability of the two groups was compared,and the difference was not statistically significant(P>0.05).After 3 months and 6 months after treatment,the daily living ability scores of observation group were(70.11±4.31)points and(90.62±3.79)points respectively,which were higher than those of control group,and the difference was statistically significant(t=4.632,5.007,P<0.05).The incidence of complications in the observation group was 3.57%,which was lower than 14.29%in the con

关 键 词：下胫腓韧带损伤 踝关节骨折 手术固定 修复治疗 踝关节功能 日常生活能力 并发症 

分 类 号：R687.3[医药卫生—骨科学]