数字化模板联合有限切开治疗踝关节骨折的临床疗效观察  

Clinical efficacy observation of digital templating combined with limited incision in the treatment of ankle fractures

作　　者：何贤标 徐杰 樊启象 赵云珍 HE Xianbiao;XU Jie;FAN Qixiang;ZHAO Yunzhen(Department 4 of Orthopedics and Traumatology,Jinhua Hospital of Traditional Chinese Medicine,Zhejiang Chinese Medical University,Jinhua 321000,Zhejiang,China)

机构地区：[1]浙江中医药大学附属金华中医院骨伤四科,浙江金华321000

出　　处：《中国现代医生》2025年第11期31-34,共4页China Modern Doctor

摘　　要：目的 分析数字化模板联合有限切开复位固定治疗踝关节旋后外旋Ⅳ度骨折的临床效果。方法 选取2020年1月至2023年6月浙江中医药大学附属金华中医院收治的73例踝关节旋后外旋Ⅳ度骨折患者作为研究对象。按手术方法的不同,对照组(n=32)采用常规切开复位内固定术,观察组(n=41)采用数字化模板联合有限切开复位固定技术。对比两组围术期相关指标、踝关节功能、并发症发生情况等。结果 观察组患者的手术操作时间、切口长度均小于对照组,下床活动时间、住院时间短于对照组(P<0.01)。观察组患者术后1、6个月的Kofoed评分均高于对照组(P<0.05)。观察组患者术后1、6个月时的踝关节背伸、跖屈角度均高于对照组(P<0.05)。观察组术后12个月关节炎生活质量测量量表2-短卷评分高于对照组(P<0.05)。结论 数字化模板联合有限切开复位固定治疗踝关节旋后外旋Ⅳ度骨折可在短期内促进患者踝关节功能恢复,改善患者的生活质量。Objective To analyze clinical effect of digital template combined with limited incision reduction and fixation in treatment of ankle fractures with degreeⅣsupination and external rotation.Methods A total of 73 patients with posterior ankle rotation fractures admitted to Jinhua Hospital of Traditional Chinese Medicine,Zhejiang Chinese Medical University from January 2020 to June 2023 were selected as study subjects.According to the surgical method,32 patients treated with conventional open reduction and internal fixation were selected as control group,and 41 patients treated with digital template combined with limited open reduction and fixation technique were selected as observation group.Perioperative related indexes,ankle function and complications were compared between two groups.Results Time of operation and length of incision in observation group were shorter than those in control group,time of getting out of bed,time of hospitalization in observation group were shorter than those in control group(P<0.01).The Kofoed scores at 1 and 6 months after operation in observation group were higher than those in control group(P<0.05).The angles of ankle dorsiflexion and plantar flexion at 1 and 6 months after operation in observation group were higher than those in control group(P<0.05).The score of arthritis quality of life measurement scale 2-short vol in observation group was higher than that in control group at 12 months(P<0.05).Conclusion The digital template combined with limited open reduction and fixation in the treatment of ankle fracture of degreeⅣsupination and external rotation can promote the recovery of patient’s ankle function in a short time and improve the quality of life.

关 键 词：数字化模板 有限切开复位 踝关节旋后外旋Ⅳ度骨折 

分 类 号：R687.3[医药卫生—骨科学]