比较切开复位与闭合复位内固定治疗踝关节Logsplitter骨折的临床效果  

Comparison of Clinical Efficacy between Open Reduction and Closed Reduction and Internal Fixation in the Treatment of Logsplitter Fracture of Ankle Joint

作　　者：吴浪滔 云亮 闫文虎 WU Langtao;YUN Liang;YAN Wenhu(Third Department of Bone Injury,Renhuai City Hospital of Traditional Chinese Medicine,Renhuai,Guizhou,564500,China)

机构地区：[1]仁怀市中医院骨伤三科,贵州仁怀564500

出　　处：《中外医疗》2025年第8期53-56,112,共5页China & Foreign Medical Treatment

摘　　要：目的比较踝关节Logsplitter骨折患者采用切开复位与闭合复位内固定治疗的临床效果。方法简单随机选取2022年6月—2024年6月仁怀市中医院收治的60例踝关节Logsplitter骨折患者作为研究对象,根据不同治疗方法分为切开复位组(n=30)与闭合复位组(n=30)。闭合复位组采用闭合复位内固定治疗,切开复位组采用切开复位内固定治疗,比较两组恢复优良率、踝关节功能、踝关节活动度、并发症。结果切开复位组恢复总优良率为90.00%(27/30),高于闭合复位组的66.67%(20/30),差异有统计学意义(χ^(2)=4.812,P<0.05)。术后,两组患者的Mazur踝关节功能评分、Baird踝关节评分均较术前提升,且切开复位组患者两项评分均高于闭合复位组,差异均有统计学意义(P均<0.05);术后两组踝关节活动度(跖屈、内翻、外翻、背伸)均较术前增加,差异均有统计学意义(P均<0.05),但两组组间跖屈、内翻、外翻、背伸活动度对比,差异均无统计学意义(P均>0.05)。切开复位组并发症总发生率为13.33%(4/30),低于闭合复位组的26.67%(8/30),差异无统计学意义(χ^(2)=1.667,P>0.05)。结论切开复位与闭合复位内固定治疗踝关节Logsplitter骨折患者均能提高患者踝关节活动度,且切开复位组患者恢复优良率高,踝关节活动评分佳,并发症少,安全性较高。Objective To compare the clinical efficacy of open reduction and closed reduction and internal fixation in patients with ankle Logsplitter fractures.Methods Sixty patients with ankle Logsplitter fractures admitted to Renhuai City Hospital of Traditional Chinese Medicine from June 2022 to June 2024 were simply randomly selected as the research objects and divided into the open reduction group(n=30)and the closed reduction group(n=30)according to different treatment methods.The closed reduction group was treated with closed reduction and internal fixation,and the open reduction group was treated with open reduction and internal fixation.The excellent and good recovery rate,ankle joint function,ankle joint range of motion,and complications were compared between the two groups.Results The total excellent and good recovery rate of the open reduction group was 90.00%(27/30),which was higher than that of the closed reduction group(66.67%)20/30,and the difference was statistically significant(χ^(2)=4.812,P<0.05).After surgery,the scores of the Mazur Ankle Function Scoring System and the Baird Ankle Score in both groups were improved compared with those before surgery,and the two scores in the open reduction group were higher than those in the closed reduction group,and the differences were statistically significant(all P<0.05);after surgery,the ankle joint range of motion(plantar flexion,inversion,eversion,dorsiflexion)in both groups was increased compared with that before surgery,and the differences were statistically significant(both P<0.05),but there were no statistically significant differences in the range of motion of plantar flexion,inversion,eversion,and dorsiflexion between the two groups(all P>0.05).The total complication rate of the open reduction group was 13.33%(4/30),which was lower than that of the closed reduction group[26.67%(8/30)],and the difference was not statistically significant(χ^(2)=1.667,P>0.05).Conclusion Both open reduction and closed reduction and internal fixation can improve the ankle joi

关 键 词：踝关节Logsplitter骨折 切开复位内固定 闭合复位内固定 

分 类 号：R687.3[医药卫生—骨科学]