微型锁定钢板内固定术与经皮螺钉内固定术治疗后踝关节骨折患者的效果比较  

Comparison of effects of mini locking plate internal fixation and percutaneous screw internal fixation in treatment of patients with posterior ankle fractures

作　　者：季晓峰 吴海 JI Xiaofeng;WU Hai(Department of Orthopaedics of the 80th Military Hospital of PLA,Weifang 261000 Shandong,China)

机构地区：[1]解放军陆军第80集团军医院骨科,山东潍坊261000

出　　处：《中国民康医学》2024年第24期145-148,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:比较微型锁定钢板内固定术与经皮螺钉内固定术治疗后踝关节骨折患者的效果。方法:选取2022年4月至2024年3月该院收治的88例后踝关节骨折患者进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各44例。研究组采用微型锁定钢板内固定术治疗,对照组采用经皮螺钉内固定术治疗。比较两组临床疗效、围术期指标(住院时间、骨折愈合时间、手术时间、术中出血量)水平,术后足踝功能[美国足踝外科协会踝-后足评分(AOFAS-AH)]、日常生活活动能力[Barthel指数(BI)]、疼痛程度[视觉模拟评分法(VAS)]评分,以及并发症发生率。结果:研究组治疗优良率为95.45%(42/44),高于对照组的81.82%(36/44),差异有统计学意义(P<0.05);研究组住院时间、骨折愈合时间均短于对照组,差异有统计学意义(P<0.05);两组手术时间、术中出血量比较,差异均无统计学意义(P>0.05);术后3个月,两组AOFAS、BI评分均高于术后3 d,且研究组高于对照组,两组VAS评分均低于术后3 d,且研究组低于对照组,差异有统计学意义(P<0.05);研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:微型锁定钢板内固定术治疗后踝关节骨折患者可提高治疗优良率、AOFAS评分和BI评分,缩短住院时间和骨折愈合时间,以及降低VAS评分和并发症发生率的效果优于经皮螺钉内固定术治疗。Objective:To compare effects of mini locking plate internal fixation and percutaneous screw internal fixation in treatment of patients with posterior ankle fractures.Methods:A prospective study was conducted on 88 patients with posterior ankle fractures admitted to the hospital from April 2022 to March 2024.According to the random number table method,they were divided into study group and control group,44 cases in each group.The study group was treated with mini locking plate internal fixation,while the control group was treated with percutaneous screw internal fixation.The clinical efficacy,the perioperative indicators(hospitalization time,fracture healing time,operation time,intraoperative blood loss)levels,the postoperative ankle function[American Orthopaedic Foot and Ankle Society ankle and hindfoot score(AOFAS-AH)],the daily living ability[Barthel index(BI)],the pain degree[visual analogue scale(VAS)]score,and the incidence of postoperative complications were compared between the two groups.Results:The excellent and good rate of treatment in the study group was 95.45%(42/44),which was higher than 81.82%(36/44)in the control group,and the difference was statistically significant(P<0.05).The hospitalization time and the fracture healing time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the operation time and the intraoperative blood loss between the two groups(P>0.05).Three months after the surgery,the AOFAS-AH and BI scores of the two groups were higher than those 3 days after the surgery,and those in the study group were higher than those in the control group;the VAS scores of the two groups were lower than those 3 days after the surgery,and that in the study group was lower than that in the control group;and the differences were statistically significant(P<0.05).Further,the incidence of complications in the study group was lower than that in the control group,and the difference was statisti

关 键 词：微型锁定钢板内固定术 经皮螺钉内固定术 后踝关节骨折 足踝功能 疼痛程度 并发症 

分 类 号：R687.3[医药卫生—骨科学]