踝关节后外侧及内侧联合入路术式治疗踝骨骨折患者的效果分析  

Analysis of the Effect of Combined Posterior Posterolateral and Medial Approach in the Treatment of Ankle Fracture Patients

作　　者：唐惠民 TANG Huimin(Department of Orthopaedics,Lankao Dongfang Hospital,Kaifeng Henan 475318,China)

机构地区：[1]兰考东方医院骨科,河南开封475318

出　　处：《临床研究》2023年第12期75-77,共3页Clinical Research

摘　　要：目的观察踝关节后外侧、内侧联合入路术式治疗踝骨骨折患者的治疗效果及对关节功能恢复的影响。方法在兰考东方医院2018年6月至2020年1月收治的踝骨骨折患者中选取70例,按照随机原则进行分组,对照组(35例)采用常规单侧入路切开复位内固定,研究组(35例)采用踝关节后外侧联合内侧入路术式治疗,对比两组围术期指标、骨代谢指标、踝关节功能及并发症。结果两组术中用时、术后下床活动用时对比,差异无统计学意义(P>0.05)。研究组术中出血量(102.36±8.21)高于对照组(98.54±5.29),差异有统计学意义(P<0.05)。术前,两组甲状旁腺素(PTH)、骨钙素(BGP)、降钙素(CT)对比,差异无统计学意义(P>0.05)。术后,两组PTH指标与术前相比有所下降,BGP、CT指标与术前相比均有所提升;且研究组PTH水平低于对照组,BGP、CT水平高于对照组,差异有统计学意义(P<0.05)。术后1年研究组患者踝关节功能评分(Kofoed)、踝关节评分(Mazur)均高于对照组,差异有统计学意义(P<0.05)。对照组并发症发生率(20.00%)高于研究组(8.57%),差异无统计学意义(P>0.05)。结论术中采用踝关节后外侧、内侧联合入路治疗踝骨骨折有显著效果,术后关节功能恢复良好。Objective To observe the therapeutic effect of a combined posterolateral and medial approach of the ankle joint on ankle fracture patients and its impact on joint function recovery.Method A total of 70 patients with ankle fractures admitted to Lankao Dongfang Hospital from June 2018 to January 2020 were selected and randomly divided into two groups.The control group(35 cases)received conventional unilateral open reduction and internal fixation,while the study group(35 cases)received posterior lateral combined medial approach treatment.The perioperative indicators,bone metabolism indicators,ankle function,and complications of the two groups were compared.Result:There was no difference in the comparison of intraoperative time and postoperative bedtime between the two groups(P>0.05).The intraoperative bleeding volume in the study group was(102.36±8.21)ml higher than that in the control group(98.54±5.29)ml,with a statistically significant difference(P<0.05);There was no statistically significant difference in preoperative levels of parathyroid hormone(PTH),osteocalcin(BGP),and calcitonin(CT)between the two groups(P>0.05).After surgery,the PTH indicators in both groups decreased compared to before surgery,while BGP and CT indicators improved compared to before surgery;And the PTH level in the study group was lower than that in the control group,while the BGP and CT levels were higher than those in the control group,with a statistically significant difference(P<0.05)One year after surgery,the ankle joint function score(Kofoed)and ankle joint scoring system(Mazur)scores of the study group patients were higher than those of the control group,with a statistically significant difference(P<0.05).The incidence of complications in the control group(20.00%)was higher than that in the study group(8.57%),with no statistically significant difference(P>0.05).Conclusion The use of a combined posterolateral and medial approach to treat ankle fractures during surgery has a significant effect,and postoperative joint function recover

关 键 词：踝骨骨折 后外侧入路 内侧入路 手术复位 

分 类 号：R683.42[医药卫生—骨科学]